Kleinleder, Peggy Ellen
Kleinleder, Peggy Ellen is an individual health care provider with primary practice located at 451 Sterling Hwy , Homer AK 99603-7440. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kleinleder, Peggy Ellen can be contacted via phone (907) 235-0369.Contact Information
Primary practice address
451 Sterling Hwy
Homer AK 99603-7440
Phone: (907) 235-0369
Fax: (907) 235-0810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN3704 | Alaska |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CM37041 | Alaska |
Profile Details
| NPI number | 1407031982 |
|---|---|
| LBN Legal business name | Kleinleder, Peggy Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2008 |
| Last updated | Jan 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407031982 | NPPES |
| Alaska | MEDICAID | CMG799 | |
| Alaska | MEDICAID | HH2711 | |
| Alaska | MEDICAID | PCG519A | |
| Alaska | MEDICAID | MS0272 | |
| Alaska | MEDICAID | HC2563 | |
| Alaska | MEDICAID | NA3799 |
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