Klitzman, Robert Gerald
Klitzman, Robert Gerald is an individual health care provider with primary practice located at 11725 Illinois St Ste 515 , Carmel IN 46032-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Klitzman, Robert Gerald can be contacted via phone (317) 944-9400.Contact Information
Primary practice address
11725 Illinois St Ste 515
Carmel IN 46032-3009
Phone: (317) 944-9400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-115443 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 26833 | Oklahoma |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | N0175 | Texas |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 01069569A | Indiana |
Profile Details
NPI number | 1740433820 |
---|---|
LBN Legal business name | Klitzman, Robert Gerald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2008 |
Last updated | Nov 27th, 2020 - about 4 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 | 1740433820 | NPPES |
Illinois | MEDICAID | 036115443 | |
Illinois | MEDICAID | 201027140 |
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