Klebs, Bradley William

Klebs, Bradley William is an individual health care provider with primary practice located at 1210 1St St W , Hastings MN 55033-1147. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Klebs, Bradley William can be contacted via phone (651) 438-1800.

Contact Information

Primary practice address
1210 1St St W Hastings MN 55033-1147
Phone: (651) 438-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00024418 Ohio
Other Service Providers / Specialist 174400000X 48665 Minnesota

Profile Details

NPI number 1053356816
LBN Legal business name Klebs, Bradley William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Dec 8th, 2011 - about 14 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 1053356816 NPPES
Washington MEDICAID 1024447
Washington Other MD00024418

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