Damitz, Brian Thomas

Damitz, Brian Thomas is an individual health care provider with primary practice located at 601 Gateway Blvd N , Chesterton IN 46304-9658. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Damitz, Brian Thomas can be contacted via phone (219) 921-1444.

Contact Information

Primary practice address
601 Gateway Blvd N Chesterton IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001184A Indiana

Profile Details

NPI number 1033420534
LBN Legal business name Damitz, Brian Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Oct 13th, 2021 - about 4 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 1033420534 NPPES
Indiana MEDICAID 300011145

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