Kueltzo, Clarke
Kueltzo, Clarke is an sole proprietor health care provider with primary practice located at 211 S Main St , Lombard IL 60148-2678. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kueltzo, Clarke can be contacted via phone (630) 495-2333.Contact Information
Primary practice address
211 S Main St
Lombard IL 60148-2678
Phone: (630) 495-2333
Fax: (630) 495-2355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051.292628 | Illinois |
Profile Details
| NPI number | 1992960009 |
|---|---|
| LBN Legal business name | Kueltzo, Clarke |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Feb 8th, 2019 - about 6 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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