Smith, Lucas Joseph

Smith, Lucas Joseph is an sole proprietor health care provider with primary practice located at 109 Houpt Dr , Upper Sandusky OH 43351-9201. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Smith, Lucas Joseph can be contacted via phone (419) 294-3489.

Contact Information

Primary practice address
109 Houpt Dr Upper Sandusky OH 43351-9201
Phone: (419) 294-3489
Fax: (419) 294-2791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2611 Ohio

Profile Details

NPI number 1033223284
LBN Legal business name Smith, Lucas Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jan 11th, 2016 - about 8 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 1033223284 NPPES
Ohio MEDICAID 2795097
Ohio Other 5871514
Ohio Other 1033223284
Ohio Other 000000115406

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