Klassen, Robert W

Klassen, Robert W is an individual health care provider with primary practice located at 100 Spring St , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Klassen, Robert W can be contacted via phone (770) 532-3700.

Contact Information

Primary practice address
100 Spring St Gainesville GA 30501
Fax: (770) 532-0059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 034385 Georgia

Profile Details

NPI number 1104926377
LBN Legal business name Klassen, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104926377 NPPES
Georgia MEDICAID 00489244C

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