Kleiman, Theodore W

Kleiman, Theodore W is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kleiman, Theodore W can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7224 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46225 Minnesota

Profile Details

NPI number 1083640643
LBN Legal business name Kleiman, Theodore W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 12th, 2011 - about 13 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 1083640643 NPPES
North Dakota Other 142360 UCARE #
North Dakota Other 21042 UCARE #
North Dakota Other 57A01KL UCARE #
North Dakota Other 904860 UCARE #
North Dakota Other ND100006 UCARE #
North Dakota Other 1202601 UCARE #
North Dakota MEDICAID 594523200 UCARE #
North Dakota Other 9L651KL UCARE #
North Dakota Other DA9011015646 UCARE #
North Dakota Other HP19551 UCARE #
North Dakota Other 13167 UCARE #
North Dakota MEDICAID 18434 UCARE #
North Dakota Other 68G90KL UCARE #
North Dakota Other 1202767 UCARE #

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