Klaich, Michael Eugene

Klaich, Michael Eugene is an sole proprietor health care provider with primary practice located at 1306 E Sherwood Dr , Grand Junction CO 81501-7578. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Klaich, Michael Eugene can be contacted via phone (970) 245-5678.

Contact Information

Primary practice address
1306 E Sherwood Dr Grand Junction CO 81501-7578
Fax: (970) 245-5679
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1314 Colorado

Profile Details

NPI number 1073556577
LBN Legal business name Klaich, Michael Eugene
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Dec 16th, 2009 - about 15 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 1073556577 NPPES
Colorado MEDICAID 08131492

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