Klunk, L. John

Klunk, L. John is an individual health care provider with primary practice located at 15 Freetown Rd , Raymond NH 03077-2358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Klunk, L. John can be contacted via phone (603) 895-8000.

Contact Information

Primary practice address
15 Freetown Rd Raymond NH 03077-2358
Fax: (603) 895-8099
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11322 New Hampshire
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11300 New Hampshire

Profile Details

NPI number 1891786588
LBN Legal business name Klunk, L. John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 20th, 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 1891786588 NPPES
New Hampshire MEDICAID 30201705
New Hampshire Other 0405788
New Hampshire Other 2626928
New Hampshire Other H48691
New Hampshire Other 011322
New Hampshire Other 990015596
New Hampshire Other 01YP03386NH01
New Hampshire Other 437891
New Hampshire Other NH2255

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