Kluetz, Joshua T
Kluetz, Joshua T is an individual health care provider with primary practice located at 7930 N Shadeland Ave Ste 200 , Indianapolis IN 46250-2943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kluetz, Joshua T can be contacted via phone (317) 497-6024.Contact Information
Primary practice address
7930 N Shadeland Ave Ste 200
Indianapolis IN 46250-2943
Phone: (317) 497-6024
Fax: (317) 497-2507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 02004210A | Indiana |
Profile Details
NPI number | 1578719365 |
---|---|
LBN Legal business name | Kluetz, Joshua T |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2008 |
Last updated | Jan 19th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578719365 | NPPES |
Indiana | MEDICAID | 201157760 | |
Indiana | Other | P01221104 |
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