Kletzing, Daniel Wayne
Kletzing, Daniel Wayne is an individual health care provider with primary practice located at 6301 University Commons Suite 360, South Bend IN 46635-1571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kletzing, Daniel Wayne can be contacted via phone (574) 232-4800.Contact Information
Primary practice address
6301 University Commons Suite 360
South Bend IN 46635-1571
Phone: (574) 232-4800
Fax: (574) 280-4810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01023918 | Indiana |
Profile Details
| NPI number | 1851340590 |
|---|---|
| LBN Legal business name | Kletzing, Daniel Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851340590 | NPPES |
| Indiana | Other | 01023918 | LICENSE NUMBER |
| Indiana | MEDICAID | 100143280A | LICENSE NUMBER |
| Indiana | Other | 000000085512 | LICENSE NUMBER |
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