Klass, Mandy A
Klass, Mandy A is an individual health care provider with primary practice located at 601 Us 224 Suite 2, Glandorf OH 45848-0081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klass, Mandy A can be contacted via phone (419) 538-7330.Contact Information
Primary practice address
601 Us 224 Suite 2
Glandorf OH 45848-0081
Phone: (419) 538-7330
Fax: (419) 538-7331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 083647 | Ohio |
Profile Details
| NPI number | 1235135260 |
|---|---|
| LBN Legal business name | Klass, Mandy A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Apr 18th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235135260 | NPPES |
| Ohio | Other | 9364531 | GROUP MEDICARE PIN |
| Ohio | MEDICAID | 2986729 | GROUP MEDICARE PIN |
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