Santa Lucia, Michael J

Santa Lucia, Michael J is an individual health care provider with primary practice located at 1655 Cane Bay Blvd Ste B , Summerville SC 29486-2397. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Santa Lucia, Michael J can be contacted via phone (843) 719-7473.

Contact Information

Primary practice address
1655 Cane Bay Blvd Ste B Summerville SC 29486-2397
Phone: (843) 719-7473
Fax: (843) 279-3251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001132 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 8042 South Carolina

Profile Details

NPI number 1154324077
LBN Legal business name Santa Lucia, Michael J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154324077 NPPES
West Virginia MEDICAID 0158191-000

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