Klaslo, Robert
Klaslo, Robert is an sole proprietor health care provider with primary practice located at 529 Maypink Dr , Toms River NJ 08753-3186. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Klaslo, Robert can be contacted via phone (732) 713-0028.Contact Information
Primary practice address
529 Maypink Dr
Toms River NJ 08753-3186
Phone: (732) 713-0028
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC0543900 | New Jersey |
Profile Details
NPI number | 1386701175 |
---|---|
LBN Legal business name | Klaslo, Robert |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
Last updated | Jan 30th, 2017 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386701175 | NPPES |
New Jersey | MEDICAID | 0029807 |
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