Kleckner, Glen Thomas

Kleckner, Glen Thomas is an individual health care provider with primary practice located at 1259 S Cedar Crest Boulevard Suite 322, Allentown PA 18103-6206. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Kleckner, Glen Thomas can be contacted via phone (610) 435-8299.

Contact Information

Primary practice address
1259 S Cedar Crest Boulevard Suite 322 Allentown PA 18103-6206
Fax: (610) 435-1940
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AT000175L Pennsylvania

Profile Details

NPI number 1801850458
LBN Legal business name Kleckner, Glen Thomas
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801850458 NPPES
Pennsylvania Other 0013248 AETNA
Pennsylvania Other 02653200 AETNA

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