Wachewicz, Lucas Jay

Wachewicz, Lucas Jay is an individual health care provider with primary practice located at 1101 W Clairemont Ave , Eau Claire WI 54701-4503. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wachewicz, Lucas Jay can be contacted via phone (715) 471-0954.

Contact Information

Primary practice address
1101 W Clairemont Ave Eau Claire WI 54701-4503
Phone: (715) 471-0954
Fax: (844) 829-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10424-24 Wisconsin

Profile Details

NPI number 1568637593
LBN Legal business name Wachewicz, Lucas Jay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Jul 21st, 2022 - about 3 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 1568637593 NPPES
Wisconsin MEDICAID 1568637593

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