Kleinhen, Ian D

Kleinhen, Ian D is an individual health care provider with primary practice located at 74 Mack St , Windsor CT 06095-2759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kleinhen, Ian D can be contacted via phone (860) 298-8830.

Contact Information

Primary practice address
74 Mack St Windsor CT 06095-2759
Fax: (860) 298-9929
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036853 Connecticut

Profile Details

NPI number 1013916808
LBN Legal business name Kleinhen, Ian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 27th, 2020 - 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 1013916808 NPPES
Connecticut MEDICAID 001368530

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