Kautz, David E
Kautz, David E is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kautz, David E can be contacted via phone (610) 648-1043.Contact Information
Primary practice address
255 W Lancaster Ave
Paoli PA 19301
Phone: (610) 648-1043
Fax: (610) 648-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA002780L | Pennsylvania |
Profile Details
| NPI number | 1154394534 |
|---|---|
| LBN Legal business name | Kautz, David E |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 24th, 2024 - about last year |
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 | 1154394534 | NPPES |
| New Jersey | MEDICAID | 0704121 |
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