Kladar, Philip A
Kladar, Philip A is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr Suite 350, Coeur D Alene ID 83814-2656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kladar, Philip A can be contacted via phone (208) 625-5222.Contact Information
Primary practice address
700 W Ironwood Dr Suite 350
Coeur D Alene ID 83814-2656
Phone: (208) 625-5222
Fax: (208) 625-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M8695 | Idaho |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | M8695 | Idaho |
Profile Details
| NPI number | 1619905999 |
|---|---|
| LBN Legal business name | Kladar, Philip A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Oct 6th, 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 | 1619905999 | NPPES |
| Idaho | Other | 020053777 | RR MEDICARE |
| Idaho | MEDICAID | 806435600 | RR MEDICARE |
| Idaho | MEDICAID | 1116839 | RR MEDICARE |
| Idaho | Other | 51383 | RR MEDICARE |
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