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
Fax: (907) 235-0810
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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