Kleinjan, Mary
Kleinjan, Mary is an sole proprietor health care provider with primary practice located at 1204 Main Ave S , Brookings SD 57006-3839. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kleinjan, Mary can be contacted via phone (605) 692-4325.Contact Information
Primary practice address
1204 Main Ave S
Brookings SD 57006-3839
Phone: (605) 692-4325
Fax: (605) 301-4141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 811 | South Dakota |
Profile Details
| NPI number | 1972567345 |
|---|---|
| LBN Legal business name | Kleinjan, Mary |
| Credentials | DC DACRB FICPA DACCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Mar 21st, 2019 - about 7 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 | 1972567345 | NPPES |
| South Dakota | MEDICAID | 7600564 |
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