Klenzak, Scott M.

Klenzak, Scott M. is an individual health care provider with primary practice located at 250 N Bennett St Suite B, Southern Pines NC 28387-4811. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Klenzak, Scott M. can be contacted via phone (910) 585-2203.

Contact Information

Primary practice address
250 N Bennett St Suite B Southern Pines NC 28387-4811
Phone: (910) 585-2203
Fax: (910) 692-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9701012 North Carolina
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 9701012 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 9701012 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27585 West Virginia

Profile Details

NPI number 1487696936
LBN Legal business name Klenzak, Scott M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Dec 12th, 2018 - about 8 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 1487696936 NPPES
North Carolina MEDICAID 5902661

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