Klenck, Claudia I

Klenck, Claudia I is an individual health care provider with primary practice located at 13241 Bartram Park Blvd Suite 209, Jacksonville FL 32258-5212. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Klenck, Claudia I can be contacted via phone (904) 242-4220.

Contact Information

Primary practice address
13241 Bartram Park Blvd Suite 209 Jacksonville FL 32258-5212
Phone: (904) 242-4220
Fax: (904) 551-1502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 056581 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME99572 Florida

Profile Details

NPI number 1821063314
LBN Legal business name Klenck, Claudia I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Mar 28th, 2014 - about 12 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 1821063314 NPPES
Florida MEDICAID 279578700
Florida MEDICAID 854962086B
Florida MEDICAID 854962086A

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