Klootwyk, Thomas E

Klootwyk, Thomas E is an individual health care provider with primary practice located at 10767 Illinois St Ste 3000 , Carmel IN 46032-8972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Klootwyk, Thomas E can be contacted via phone (317) 817-1200.

Contact Information

Primary practice address
10767 Illinois St Ste 3000 Carmel IN 46032-8972
Phone: (317) 817-1200
Fax: (317) 817-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 01040367A Indiana

Profile Details

NPI number 1245284967
LBN Legal business name Klootwyk, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 3rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245284967 NPPES
Indiana Other 200013393 RR MEDICARE
Indiana MEDICAID 100461070A RR MEDICARE

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