Klemczak, Denise L
Klemczak, Denise L is an individual health care provider with primary practice located at 1160 Cypress Glen Cir , Kissimmee FL 34741-7560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Klemczak, Denise L can be contacted via phone (407) 518-1993.Contact Information
Primary practice address
1160 Cypress Glen Cir
Kissimmee FL 34741-7560
Phone: (407) 518-1993
Fax: (407) 518-9056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036118539 | Illinois |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS12104 | Florida |
Profile Details
| NPI number | 1033312723 |
|---|---|
| LBN Legal business name | Klemczak, Denise L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Aug 22nd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033312723 | NPPES |
| Illinois | Other | 036118539 | ILLINOIS LICENSE |
| Illinois | MEDICAID | 009224600 | ILLINOIS LICENSE |
| Illinois | MEDICAID | 036118539 | ILLINOIS LICENSE |
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