De Klerk, Alan Michael
De Klerk, Alan Michael is an individual health care provider with primary practice located at 7 Cornelia St Apt 3D , New York NY 10014-4165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. De Klerk, Alan Michael can be contacted via phone (321) 609-1723.Contact Information
Primary practice address
7 Cornelia St Apt 3D
New York NY 10014-4165
Phone: (321) 609-1723
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 212205 | New York |
Profile Details
| NPI number | 1295735645 |
|---|---|
| LBN Legal business name | De Klerk, Alan Michael |
| Credentials | MBCHB, FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Apr 16th, 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 | 1295735645 | NPPES |
| Florida | MEDICAID | 019304000 | |
| Florida | MEDICAID | 01892800 |
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