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KREUTZMANN MEDICAL CLINIC NPI 1588804041


NPI Information

NPI: 1588804041
Provider Name: KREUTZMANN MEDICAL CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
359 JAMES ST
OZARK, AL
ZIP 36360
Phone: (334) 774-7572
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KREUTZMANN MEDICAL CLINIC is a general practice in Ozark, AL. 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 KREUTZMANN MEDICAL CLINIC NPI is 1588804041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

359 JAMES ST
OZARK, AL
ZIP 36360-014
Phone: (334) 774-7572
Fax: (334) 774-6237

The provider's authorized official is Robert J Kreutzmann .
The authorized official title is Owner and has the following contact phone number (334) 774-7572.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 2/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice21379ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000095291MEDICARE PINALABAMA
251095291OTHERALABAMAALABAMA BCBS

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: 4/28/2024

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