Klein, Eric W

Klein, Eric W is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Klein, Eric W can be contacted via phone (208) 639-4900.

Contact Information

Primary practice address
2855 E Magic View Dr Meridian ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M8502 Idaho

Profile Details

NPI number 1023013109
LBN Legal business name Klein, Eric W
Credentials M.D.,MPH, TM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 4th, 2009 - about 17 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 1023013109 NPPES
Idaho MEDICAID 806360400
Idaho Other B5599
Idaho Other P00250188
Idaho Other 76535
Idaho Other 000010152028
Idaho Other 000010157178

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