Lutz, David J
Lutz, David J is an sole proprietor health care provider with primary practice located at 7180 W 107Th St Ste 4 , Overland Park KS 66212-2523. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lutz, David J can be contacted via phone (913) 303-8240.Contact Information
Primary practice address
7180 W 107Th St Ste 4
Overland Park KS 66212-2523
Phone: (913) 303-8240
Fax: (417) 312-2517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | R0201 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP03120 | Kansas |
Profile Details
| NPI number | 1639166168 |
|---|---|
| LBN Legal business name | Lutz, David J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 15th, 2024 - about 2 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 | 1639166168 | NPPES |
| Missouri | MEDICAID | 496943804 |
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