Klotz, Darrell Alexander

Klotz, Darrell Alexander is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Klotz, Darrell Alexander can be contacted via phone (704) 295-3000.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3000
Fax: (704) 295-3253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2002-00935 North Carolina

Profile Details

NPI number 1518952589
LBN Legal business name Klotz, Darrell Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Apr 26th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518952589 NPPES
North Carolina Other 2103802 MAMSI
North Carolina Other 10-00211 MAMSI
North Carolina Other 13159 MAMSI
North Carolina Other 20095447 MAMSI
North Carolina Other 7340670002 MAMSI
North Carolina MEDICAID 8913159 MAMSI
North Carolina Other 773673 MAMSI
North Carolina Other B8346 MAMSI
North Carolina Other 01146021 MAMSI
North Carolina Other 7049291 MAMSI
North Carolina Other 000000293192 MAMSI
North Carolina Other 180357 MAMSI
North Carolina MEDICAID N00936 MAMSI
North Carolina Other 800996 MAMSI

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