Kleinbub, Matthew Todd

Kleinbub, Matthew Todd is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kleinbub, Matthew Todd can be contacted via phone (706) 737-9250.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 737-9250
Fax: (706) 733-0697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 052976 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 052976 Georgia

Profile Details

NPI number 1558304501
LBN Legal business name Kleinbub, Matthew Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 16th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558304501 NPPES
Georgia MEDICAID 654090702A
Georgia MEDICAID G52976
Georgia Other P00111540

Popular Providers