Schleck, Kurt J

Schleck, Kurt J is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schleck, Kurt J can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 448-7627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01030409A Indiana

Profile Details

NPI number 1144289935
LBN Legal business name Schleck, Kurt J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 23rd, 2012 - about 12 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 1144289935 NPPES
Indiana Other 10825896 CAQH NUMBER
Indiana Other 9397458 CAQH NUMBER
Indiana MEDICAID SC12875001 CAQH NUMBER
Indiana MEDICAID 100078490 CAQH NUMBER
Indiana Other 000000185068 CAQH NUMBER

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