Klemmt, Marcus Frank

Klemmt, Marcus Frank is an individual health care provider with primary practice located at 130 Oakdale Rd , Johnson City NY 13790-1758. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Klemmt, Marcus Frank can be contacted via phone (607) 770-4400.

Contact Information

Primary practice address
130 Oakdale Rd Johnson City NY 13790-1758
Fax: (607) 770-4422
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X New York

Profile Details

NPI number 1669471785
LBN Legal business name Klemmt, Marcus Frank
Credentials CPO, FAAOP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 10th, 2007 - about 18 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 1669471785 NPPES
New York MEDICAID 00432504

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