James Ebner Luetzow is a Dentist in Racine, Wisconsin. James Ebner Luetzow practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Ebner Luetzow is 1982736583. The last update date is 2007-07-08.
James Ebner Luetzow's current location address is 6011 Durand Ave, Racine, Wisconsin. You can contact this provider via phone number 2626812162. The mailing address for James Ebner Luetzow is 6011 Durand Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Ebner Luetzow |
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Address | 6011 Durand Ave, Racine, Wisconsin |
Phone Number | 2626812162 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1982736583 |
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Provider Enumeration Date | 2007-03-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6011 Durand Ave |
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City | Racine |
State | Wisconsin (WI) |
Post Code | 534065060 |
Phone Number | 2626812162 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2387 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to James Ebner Luetzow by the Centers for Medicare & Medicaid Services?
The James Ebner Luetzow has been issued the NPI (National Provider Identifier) 1982736583 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of James Ebner Luetzow?
The James Ebner Luetzow is physically situated at 6011 Durand Ave, in the city of Racine, state of WI, with the postal code 534065060.
What is James Ebner Luetzow's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Ebner Luetzow is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982736583 to James Ebner Luetzow?
The Centers for Medicare & Medicaid Services originally issued the 1982736583 to James Ebner Luetzow on 2007-03-09.
When was the information related to James Ebner Luetzow most recently updated or refreshed?
The details pertaining to the James Ebner Luetzow, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.