Klein, John R

Klein, John R is an sole proprietor health care provider with primary practice located at 6618 E Carondelet Dr , Tucson AZ 85710-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Klein, John R can be contacted via phone (520) 290-0961.

Contact Information

Primary practice address
6618 E Carondelet Dr Tucson AZ 85710-2119
Fax: (520) 290-0965
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 32166 Arizona

Profile Details

NPI number 1508842881
LBN Legal business name Klein, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated May 10th, 2021 - about 4 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 1508842881 NPPES
Arizona MEDICAID 835225

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