Kleinman, Russell

Kleinman, Russell is an individual health care provider with primary practice located at 1304 E 32Nd St , Silver City NM 88061-7252. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kleinman, Russell can be contacted via phone (505) 388-3175.

Contact Information

Primary practice address
1304 E 32Nd St Silver City NM 88061-7252
Fax: (505) 388-4695
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 82-231 New Mexico

Profile Details

NPI number 1184605768
LBN Legal business name Kleinman, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Aug 14th, 2007 - about 19 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 1184605768 NPPES
New Mexico MEDICAID 07716

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