Lonergan, Ian Michael

Lonergan, Ian Michael is an individual health care provider with primary practice located at 1600 Pennsylvania Ave , Wilmington DE 19806-4047. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Lonergan, Ian Michael can be contacted via phone (302) 656-0214.

Contact Information

Primary practice address
1600 Pennsylvania Ave Wilmington DE 19806-4047
Phone: (302) 656-0214
Fax: (877) 284-8933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 5101017079 Michigan
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X C20008811 Delaware
Allopathic & Osteopathic Physicians / General Practice 208D00000X C20008811 Delaware
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C20008811 Delaware

Profile Details

NPI number 1174795744
LBN Legal business name Lonergan, Ian Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Apr 22nd, 2011 - about 15 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 1174795744 NPPES
Other 136323YABT MEDICARE ID

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