Klatt, Jonathan L
Klatt, Jonathan L is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Klatt, Jonathan L can be contacted via phone (920) 320-2249.Contact Information
Primary practice address
2300 Western Ave
Manitowoc WI 54220-3712
Phone: (920) 320-2249
Fax: (920) 320-3529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 40632 | Wisconsin |
Profile Details
| NPI number | 1689787756 |
|---|---|
| LBN Legal business name | Klatt, Jonathan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | May 28th, 2008 - about 17 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 | 1689787756 | NPPES |
| Wisconsin | Other | 050075054 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 34002700 | MEDICARE RAILROAD |
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