Kistka, Zachary Aaron-Francis

Kistka, Zachary Aaron-Francis is an individual health care provider with primary practice located at 6301 University Commons Ste 210 , South Bend IN 46635-1590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Kistka, Zachary Aaron-Francis can be contacted via phone (574) 234-4016.

Contact Information

Primary practice address
6301 University Commons Ste 210 South Bend IN 46635-1590
Phone: (574) 234-4016
Fax: (574) 239-4607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01077098A Indiana
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 47710 Tennessee

Profile Details

NPI number 1760671044
LBN Legal business name Kistka, Zachary Aaron-Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Jun 6th, 2022 - about 2 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 1760671044 NPPES
Indiana MEDICAID 201369110
Indiana Other 163500005

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