Lutz, David Robert

Lutz, David Robert is an sole proprietor health care provider with primary practice located at 3326 Sw 4Th Place , Cape Coral FL 33914. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lutz, David Robert can be contacted via phone (502) 386-9385.

Contact Information

Primary practice address
3326 Sw 4Th Place Cape Coral FL 33914
Phone: (502) 386-9385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH12511 Florida
Chiropractic Providers / Chiropractor 111N00000X 4667 Kentucky

Profile Details

NPI number 1245276302
LBN Legal business name Lutz, David Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jul 23rd, 2018 - 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 1245276302 NPPES
Kentucky Other 2735025000 PASSPORT ADVANTAGE
Kentucky Other 50011059 PASSPORT ADVANTAGE
Kentucky MEDICAID 85002319 PASSPORT ADVANTAGE
Kentucky Other 9989010 PASSPORT ADVANTAGE
Kentucky Other P00428704 PASSPORT ADVANTAGE

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