Pitz, Zachary T

Pitz, Zachary T is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Pitz, Zachary T can be contacted via phone (920) 923-7940.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935
Phone: (920) 923-7940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9968-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1912940529
LBN Legal business name Pitz, Zachary T
Credentials MS PT/LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 24th, 2007 - about 17 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 1912940529 NPPES
Wisconsin MEDICAID 40388600

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