Klaas, Carissa Lynn

Klaas, Carissa Lynn is an individual health care provider with primary practice located at 5645 Mockingbird Ln , Greenwood IN 46143-6246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Klaas, Carissa Lynn can be contacted via phone (317) 692-1249.

Contact Information

Primary practice address
5645 Mockingbird Ln Greenwood IN 46143-6246
Phone: (317) 692-1249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2022-0502 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2022-0402 New Mexico

Profile Details

NPI number 1740488378
LBN Legal business name Klaas, Carissa Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Aug 4th, 2022 - about 3 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 1740488378 NPPES
Indiana MEDICAID 1740488378

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