Stoltz, Gary Kent

Stoltz, Gary Kent is an individual health care provider with primary practice located at 2105 Prevatt St , Eustis FL 32726-6131. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stoltz, Gary Kent can be contacted via phone (352) 357-7955.

Contact Information

Primary practice address
2105 Prevatt St Eustis FL 32726-6131
Fax: (352) 357-7254
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2081 Florida

Profile Details

NPI number 1316925084
LBN Legal business name Stoltz, Gary Kent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Oct 5th, 2011 - about 13 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 1316925084 NPPES
Florida Other 89727 BLUE CROSS BLUE SHIELD
Florida Other 350053967 BLUE CROSS BLUE SHIELD
Florida MEDICAID 380263900 BLUE CROSS BLUE SHIELD
Florida Other CH2081 BLUE CROSS BLUE SHIELD

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