Individual
STEPHEN KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 W HIGH ST, SUITE 300, LIMA, OH 45801-3990
(419) 996-5033
(419) 996-5266
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(800) 514-4390
(440) 808-3676
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036115101
IL
2084P0800X
Psychiatry Physician
Primary
35.092691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06132032
BCBS
IL
05
—
2915644
—
OH
01
—
CG2264
RR GROUP
IL
01
—
P00712995
MEDICARE GROUP RR
OH
Enumeration date
06/12/2006
Last updated
03/27/2014
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