Bethel, Klee S
Bethel, Klee S is an sole proprietor health care provider with primary practice located at 2152 E Broadway Rd Suite 1, Tempe AZ 85282-1751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Bethel, Klee S can be contacted via phone (480) 892-5313.Contact Information
Primary practice address
2152 E Broadway Rd Suite 1
Tempe AZ 85282-1751
Phone: (480) 892-5313
Fax: (480) 545-2788
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 18441 | Arizona |
Profile Details
NPI number | 1215930862 |
---|---|
LBN Legal business name | Bethel, Klee S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 27th, 2005 |
Last updated | Mar 9th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215930862 | NPPES |
Arizona | MEDICAID | 049975 | |
Arizona | Other | P00630025 |
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