Provider Demographics
NPI:1801968979
Name:DANIEL HOELZEL CRTT INC
Entity type:Organization
Organization Name:DANIEL HOELZEL CRTT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOELZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-265-3275
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MO
Mailing Address - Zip Code:63556-0065
Mailing Address - Country:US
Mailing Address - Phone:660-265-3275
Mailing Address - Fax:
Practice Address - Street 1:19269 DAISY DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MO
Practice Address - Zip Code:63556-0065
Practice Address - Country:US
Practice Address - Phone:660-265-3275
Practice Address - Fax:660-265-3275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0568990001Medicare ID - Type Unspecified