Kutlick, David A

Kutlick, David A is an individual health care provider with primary practice located at 15700 State Route 170 Suite B, East Liverpool OH 43920-9657. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Kutlick, David A can be contacted via phone (330) 385-2227.

Contact Information

Primary practice address
15700 State Route 170 Suite B East Liverpool OH 43920-9657
Phone: (330) 385-2227
Fax: (330) 385-4242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X OH-36-00-1819-K Ohio

Profile Details

NPI number 1154329225
LBN Legal business name Kutlick, David A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 21st, 2011 - about 13 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 1154329225 NPPES
Ohio MEDICAID 0360961

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