Klein, Samuel

Klein, Samuel is an individual health care provider with primary practice located at 4488 Forest Park Ave Div Im, Geriatric Med, Saint Louis MO 63108-2283. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Klein, Samuel can be contacted via phone (314) 286-2069.

Contact Information

Primary practice address
4488 Forest Park Ave Div Im, Geriatric Med Saint Louis MO 63108-2283
Phone: (314) 286-2069
Fax: (314) 362-8230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 107482 Missouri

Profile Details

NPI number 1679590186
LBN Legal business name Klein, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about last year

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 1679590186 NPPES
Missouri MEDICAID 207883406

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