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
Phone: (352) 357-7955
Fax: (352) 357-7254
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 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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