Kleckner, Susan

Kleckner, Susan is an individual health care provider with primary practice located at 281 Sawyer Dr , Durango CO 81303-3409. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kleckner, Susan can be contacted via phone (970) 247-5702.

Contact Information

Primary practice address
281 Sawyer Dr Durango CO 81303-3409
Phone: (970) 247-5702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 102850 Colorado

Profile Details

NPI number 1205012796
LBN Legal business name Kleckner, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205012796 NPPES
Colorado MEDICAID 07028509

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