Micheal J Klitzke

LBN: Micheal J Klitzke
Micheal J Klitzke is an health care organization with primary practice located at 6025 Brookvale Ln Suite 205, Knoxville TN 37919-4031. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Micheal J Klitzke can be contacted via phone (865) 588-6916, or through Klitzke, Michael John via phone (865) 588-6916.

Contact Information

Primary practice address
6025 Brookvale Ln Suite 205 Knoxville TN 37919-4031
Phone: (865) 588-6916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klitzke, Michael John PHD
Phone: (865) 588-6916

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1761 Tennessee

Profile Details

NPI number 1831363126
LBN Legal business name Micheal J Klitzke
DBA Doing business as
Authorized official Klitzke, Michael John PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Apr 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831363126 NPPES
Tennessee MEDICAID 3688001

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