Jantac, Lukas
Jantac, Lukas is an individual health care provider with primary practice located at 110 Fields Dr Suite A, Sanford NC 27330-5072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jantac, Lukas can be contacted via phone (919) 777-9005.Contact Information
Primary practice address
110 Fields Dr Suite A
Sanford NC 27330-5072
Phone: (919) 777-9005
Fax: (919) 708-1550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 200400884 | North Carolina |
Profile Details
| NPI number | 1750507463 |
|---|---|
| LBN Legal business name | Jantac, Lukas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jan 23rd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750507463 | NPPES |
| North Carolina | Other | 145J1 | BCBS NC |
| North Carolina | Other | FH2967430 | BCBS NC |
| North Carolina | MEDICAID | 5906881 | BCBS NC |
| North Carolina | Other | 199499 | BCBS NC |
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