Lotz, Samuel W

Lotz, Samuel W is an individual health care provider with primary practice located at 187 W Schrock Rd , Westerville OH 43081-2890. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Lotz, Samuel W can be contacted via phone (614) 355-7500.

Contact Information

Primary practice address
187 W Schrock Rd Westerville OH 43081-2890
Phone: (614) 355-7500
Fax: (614) 355-7533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X North Dakota
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1730699612
LBN Legal business name Lotz, Samuel W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2017
Last updated Feb 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730699612 NPPES
Ohio MEDICAID 1473276

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