Luchansky, Mitchell Alan

Luchansky, Mitchell Alan is an sole proprietor health care provider with primary practice located at 267 Old Moody Blvd , Palm Coast FL 32164-2470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Luchansky, Mitchell Alan can be contacted via phone (386) 313-5752.

Contact Information

Primary practice address
267 Old Moody Blvd Palm Coast FL 32164-2470
Phone: (386) 313-5752
Fax: (386) 313-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME77530 Florida

Profile Details

NPI number 1447322367
LBN Legal business name Luchansky, Mitchell Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 2016 - about 10 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 1447322367 NPPES
Florida MEDICAID 015704300

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