Lutz, Joseph

Lutz, Joseph is an sole proprietor health care provider with primary practice located at 200 Maplewood Ave , Ronceverte WV 24970-1334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lutz, Joseph can be contacted via phone (304) 647-1148.

Contact Information

Primary practice address
200 Maplewood Ave Ronceverte WV 24970-1334
Phone: (304) 647-1148
Fax: (304) 793-2208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 536 West Virginia

Profile Details

NPI number 1114945599
LBN Legal business name Lutz, Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Mar 12th, 2009 - about 16 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 1114945599 NPPES
West Virginia Other 970003810 CIGNA
West Virginia Other 48/47 CIGNA

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