Gantz, Kyle Edwin
Gantz, Kyle Edwin is an individual health care provider with primary practice located at 1405 S Detroit St , Bellefontaine OH 43311-9709. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gantz, Kyle Edwin can be contacted via phone (937) 592-6321.Contact Information
Primary practice address
1405 S Detroit St
Bellefontaine OH 43311-9709
Phone: (937) 592-6321
Fax: (937) 592-7644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3540 | Ohio |
Profile Details
| NPI number | 1972653145 |
|---|---|
| LBN Legal business name | Gantz, Kyle Edwin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972653145 | NPPES |
| Ohio | MEDICAID | 2552821 |
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