Lusk, Mckade

Lusk, Mckade is an sole proprietor health care provider with primary practice located at 21260 N. 1450 E. , Moroni UT 84646-0383. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Lusk, Mckade can be contacted via phone (435) 851-6821.

Contact Information

Primary practice address
21260 N. 1450 E. Moroni UT 84646-0383
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Utah

Profile Details

NPI number 1285069278
LBN Legal business name Lusk, Mckade
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2013
Last updated Jun 18th, 2015 - about 11 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 1285069278 NPPES
Utah MEDICAID 1

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