Healthcare Provider Details

I. General information

NPI: 1598832750
Provider Name (Legal Business Name): ARTHUR H. KATZ, M.D., S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 45TH ST SUITE 205
MUNSTER IN
46321-3927
US

IV. Provider business mailing address

1950 45TH ST SUITE 205
MUNSTER IN
46321-3927
US

V. Phone/Fax

Practice location:
  • Phone: 219-934-9396
  • Fax: 219-924-7899
Mailing address:
  • Phone: 219-934-9396
  • Fax: 219-924-7899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number01027712
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number036-055188
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number036-055188
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number01027712
License Number StateIN

VIII. Authorized Official

Name: DR. ARTHUR H. KATZ
Title or Position: OWNER & PRESIDENT
Credential: M.D.
Phone: 219-934-9396