Klein, Paul Edward

Klein, Paul Edward is an individual health care provider with primary practice located at 1799 Kiowa Ave Ste 104 , Lake Havasu City AZ 86403. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Klein, Paul Edward can be contacted via phone (928) 505-1030.

Contact Information

Primary practice address
1799 Kiowa Ave Ste 104 Lake Havasu City AZ 86403
Phone: (928) 505-1030
Fax: (928) 453-0461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN188709 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1337222 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP7448 Arizona

Profile Details

NPI number 1639172901
LBN Legal business name Klein, Paul Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 29th, 2018 - about 6 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 1639172901 NPPES
Minnesota MEDICAID 150132100
Minnesota MEDICAID 1639172901
Minnesota MEDICAID 19795
Minnesota MEDICAID 980120

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