Kladar, Philip A

Kladar, Philip A is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr Suite 350, Coeur D Alene ID 83814-2656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kladar, Philip A can be contacted via phone (208) 625-5222.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 350 Coeur D Alene ID 83814-2656
Phone: (208) 625-5222
Fax: (208) 625-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M8695 Idaho
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X M8695 Idaho

Profile Details

NPI number 1619905999
LBN Legal business name Kladar, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Oct 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619905999 NPPES
Idaho Other 020053777 RR MEDICARE
Idaho MEDICAID 806435600 RR MEDICARE
Idaho MEDICAID 1116839 RR MEDICARE
Idaho Other 51383 RR MEDICARE

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