Klein, David Eugene
Klein, David Eugene is an sole proprietor health care provider with primary practice located at 259 E Erie St Fl 19 , Chicago IL 60611-2987. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Klein, David Eugene can be contacted via phone (312) 695-7950.Contact Information
Primary practice address
259 E Erie St Fl 19
Chicago IL 60611-2987
Phone: (312) 695-7950
Fax: (312) 695-5747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036.159465 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5101024326 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York |
Profile Details
| NPI number | 1003302159 |
|---|---|
| LBN Legal business name | Klein, David Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Jan 30th, 2024 - about 11 months 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 | 1003302159 | NPPES |
| Illinois | Other | 336.118228 | CONTROLLED SUBSTANCE LICENSE |
| Illinois | Other | 036.159465 | CONTROLLED SUBSTANCE LICENSE |
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