Klafke, Tysen

Klafke, Tysen is an individual health care provider with primary practice located at 975 Sw 1St Ave , Ontario OR 97914-2112. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Klafke, Tysen can be contacted via phone (541) 889-3750.

Contact Information

Primary practice address
975 Sw 1St Ave Ontario OR 97914-2112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 10174720 Oregon

Profile Details

NPI number 1710346200
LBN Legal business name Klafke, Tysen
Credentials L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2016
Last updated Feb 12th, 2016 - about 8 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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