Klaz, Alexander

Klaz, Alexander is an individual health care provider with primary practice located at 1829 Brassica Ln , Indianapolis IN 46217-7095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Klaz, Alexander can be contacted via phone (317) 698-6883.

Contact Information

Primary practice address
1829 Brassica Ln Indianapolis IN 46217-7095
Fax: (317) 782-1069
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01038707 Indiana

Profile Details

NPI number 1811989882
LBN Legal business name Klaz, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Sep 25th, 2016 - about 10 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 1811989882 NPPES
Indiana MEDICAID 100376420A

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