Kaltenbach, Judith Ann
Kaltenbach, Judith Ann is an individual health care provider with primary practice located at 1200 W Sr 434 Ste 112 , Longwood FL 32750-4957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kaltenbach, Judith Ann can be contacted via phone (407) 869-8747.Contact Information
Primary practice address
1200 W Sr 434 Ste 112
Longwood FL 32750-4957
Phone: (407) 869-8747
Fax: (407) 869-8108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PA3205 | Florida |
Profile Details
| NPI number | 1356498307 |
|---|---|
| LBN Legal business name | Kaltenbach, Judith Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | May 16th, 2022 - about 3 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 | 1356498307 | NPPES |
| Florida | Other | PA 3205 | LICENSE PHYSICIAN ASSISTA |
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