Klein, Ian Charles

Klein, Ian Charles is an individual health care provider with primary practice located at 7331 Dr Martin Luther King Jr St N , St Petersburg FL 33702-5201. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Klein, Ian Charles can be contacted via phone (727) 527-1249.

Contact Information

Primary practice address
7331 Dr Martin Luther King Jr St N St Petersburg FL 33702-5201
Phone: (727) 527-1249
Fax: (727) 521-1240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO-1411 Florida

Profile Details

NPI number 1033118187
LBN Legal business name Klein, Ian Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Apr 7th, 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 1033118187 NPPES
Florida MEDICAID 057899100

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