Klein, Mary Y

Klein, Mary Y is an individual health care provider with primary practice located at 85 E Us Highway 6 Ste 200 , Valparaiso IN 46383. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Klein, Mary Y can be contacted via phone (219) 983-6260.

Contact Information

Primary practice address
85 E Us Highway 6 Ste 200 Valparaiso IN 46383
Fax: (219) 983-6010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01034294 Indiana

Profile Details

NPI number 1518966589
LBN Legal business name Klein, Mary Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 11th, 2020 - about 5 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 1518966589 NPPES
Indiana Other 110119928 TRAVELERS MCR PROVDIER #
Indiana MEDICAID 100209090 TRAVELERS MCR PROVDIER #
Indiana Other 000000091408 TRAVELERS MCR PROVDIER #

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