SearchOhio164W00000X

Luke Pantelis

NPI 1356771596 · on the registry since 2013 · sole proprietor

Practice

Address
6586 Windgate Ave Ne
Canton, OH 44721
Phone
(330) 323-6133
Organisation at this address
Luke Pantelis
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio