Klin, Mariusz Jerzy

Klin, Mariusz Jerzy is an individual health care provider with primary practice located at 2202 State Ave Suite 301, Panama City FL 32405-7601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Klin, Mariusz Jerzy can be contacted via phone (850) 215-7071.

Contact Information

Primary practice address
2202 State Ave Suite 301 Panama City FL 32405-7601
Phone: (850) 215-7071
Fax: (850) 215-7073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME85851 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A63234 California

Profile Details

NPI number 1457357006
LBN Legal business name Klin, Mariusz Jerzy
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 16th, 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 1457357006 NPPES
Florida MEDICAID 265270600
Florida Other 51542

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