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NPI Code Detail

MEDICARE: KARL C NITZ LSCSW

MEDICARE: KARL C NITZ LSCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2528KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255390423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL C NITZ LSCSW
Provider Business Mailing Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-7706
Fax Number : 785-452-7279
Provider Business Practice Location Address
First Line : 730 HOLLY LN
Second Line :
City : SALINA
State : KS
Zip : 67401-8452
Country : US
Telephone Number : 785-452-4930
Fax Number : 785-452-4932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/15/2015

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Directions to “ KARL C NITZ LSCSW” Practice Location

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