Klele, Luke Thomas

Klele, Luke Thomas is an individual health care provider with primary practice located at 1496 Morris Ave , Union NJ 07094. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Klele, Luke Thomas can be contacted via phone (908) 687-6933.

Contact Information

Primary practice address
1496 Morris Ave Union NJ 07094
Fax: (908) 687-6506
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DI21271 New Jersey

Profile Details

NPI number 1386623114
LBN Legal business name Klele, Luke Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1386623114 NPPES
New Jersey MEDICAID 8472904

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