Lucas, Jonathan

Lucas, Jonathan is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Fl 5 , Charleston WV 25304-1227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lucas, Jonathan can be contacted via phone (304) 388-4600.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Fl 5 Charleston WV 25304-1227
Phone: (304) 388-4600
Fax: (304) 388-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75558 West Virginia

Profile Details

NPI number 1396129441
LBN Legal business name Lucas, Jonathan
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Oct 10th, 2024 - about 2 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 1396129441 NPPES
West Virginia MEDICAID 3810030131

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