Koltz, Michael L.

Koltz, Michael L. is an individual health care provider with primary practice located at 5901 Monclova Rd , Maumee OH 43537-1855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koltz, Michael L. can be contacted via phone (419) 893-5968.

Contact Information

Primary practice address
5901 Monclova Rd Maumee OH 43537-1855
Phone: (419) 893-5968
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-051603 Ohio

Profile Details

NPI number 1033180237
LBN Legal business name Koltz, Michael L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 26th, 2008 - about 18 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 1033180237 NPPES
Ohio MEDICAID 0579879

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