Klein, Mary R

Klein, Mary R is an individual health care provider with primary practice located at 18780 Bagley Rd Ste 104 , Cleveland OH 44130-3304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klein, Mary R can be contacted via phone (440) 816-5950.

Contact Information

Primary practice address
18780 Bagley Rd Ste 104 Cleveland OH 44130-3304
Phone: (440) 816-5950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35071582 Ohio

Profile Details

NPI number 1306848114
LBN Legal business name Klein, Mary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jan 19th, 2021 - about 3 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 1306848114 NPPES
Ohio Other 000000543171 ANTHEM BC/BS
Ohio Other P00705943 ANTHEM BC/BS
Ohio Other KL0829213 ANTHEM BC/BS
Ohio Other P00472850 ANTHEM BC/BS
Ohio MEDICAID 2097707 ANTHEM BC/BS

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