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DANIEL S KANTZ PSC NPI 1912961012


NPI Information

NPI: 1912961012
Provider Name: DANIEL S KANTZ PSC

Former Legal Business Name: DANIEL S KANTZ LLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2100 MARKET ST
#106
CHARLESTOWN, IN
ZIP 47111
Phone: (812) 256-7830
Get Directions

DANIEL S KANTZ PSC is a general practice in Charlestown, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DANIEL S KANTZ PSC NPI is 1912961012. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Daniel S Kantz Llc.

The provider's business location address is:

2100 MARKET ST
#106
CHARLESTOWN, IN
ZIP 47111
Phone: (812) 256-7830
Fax: (812) 256-7835

The provider's authorized official is Daniel S Kantz .
The authorized official title is Do Owner and has the following contact phone number (812) 256-7830.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice02002542AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164068968MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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