Lutz, David J.

Lutz, David J. is an individual health care provider with primary practice located at 7956 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Lutz, David J. can be contacted via phone (260) 436-2416.

Contact Information

Primary practice address
7956 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 436-2416
Fax: (260) 436-6936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 01057270A Indiana
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01057270A Indiana

Profile Details

NPI number 1811994213
LBN Legal business name Lutz, David J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 29th, 2017 - about 7 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 1811994213 NPPES
Indiana MEDICAID 200423930
Indiana MEDICAID 2386323
Indiana Other 250014246
Indiana MEDICAID 4835821
Indiana Other P00206255

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