Klesney Tait, Julia Ann

Klesney Tait, Julia Ann is an individual health care provider with primary practice located at 200 Hawkins Dr Internal Medicine/Pulmon C 33-Gh, Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Klesney Tait, Julia Ann can be contacted via phone (319) 356-4187.

Contact Information

Primary practice address
200 Hawkins Dr Internal Medicine/Pulmon C 33-Gh Iowa City IA 52242-1009
Phone: (319) 356-4187
Fax: (319) 356-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36987 Iowa
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36987 Iowa

Profile Details

NPI number 1679631204
LBN Legal business name Klesney Tait, Julia Ann
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jan 10th, 2017 - about 9 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 1679631204 NPPES
Iowa Other 29422 WELLMARK BCBS
Iowa MEDICAID 0762476 WELLMARK BCBS

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