Lutz, Jacob Thomas

Lutz, Jacob Thomas is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1673. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Lutz, Jacob Thomas can be contacted via phone (260) 460-3203.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1673
Phone: (260) 460-3203
Fax: (260) 460-3271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042679A Indiana

Profile Details

NPI number 1164860052
LBN Legal business name Lutz, Jacob Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Jun 13th, 2013 - about 11 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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