Duttweiler, Richard

Duttweiler, Richard is an individual health care provider with primary practice located at 759 45Th Ave Ste. 202, Munster IN 46321-2939. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Duttweiler, Richard can be contacted via phone (219) 836-0193.

Contact Information

Primary practice address
759 45Th Ave Ste. 202 Munster IN 46321-2939
Phone: (219) 836-0193
Fax: (219) 836-2452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05001602A Indiana

Profile Details

NPI number 1124068374
LBN Legal business name Duttweiler, Richard
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 5th, 2019 - about 5 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 1124068374 NPPES
Indiana MEDICAID 200530270

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