Luczak, Kenneth David
Luczak, Kenneth David is an individual health care provider with primary practice located at 1122 Taylor St , Zanesville OH 43701-2658. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Luczak, Kenneth David can be contacted via phone (740) 588-2182.Contact Information
Primary practice address
1122 Taylor St
Zanesville OH 43701-2658
Phone: (740) 588-2182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT10054 | Ohio |
Profile Details
| NPI number | 1447357116 |
|---|---|
| LBN Legal business name | Luczak, Kenneth David |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447357116 | NPPES |
| Ohio | MEDICAID | 2620186 |
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