Klett, Michael P

Klett, Michael P is an individual health care provider with primary practice located at 1252 Bennett Ave. Ste B, Burley ID 83318-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Klett, Michael P can be contacted via phone (208) 878-5255.

Contact Information

Primary practice address
1252 Bennett Ave. Ste B Burley ID 83318-2664
Phone: (208) 878-5255
Fax: (208) 878-2005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-30 Idaho

Profile Details

NPI number 1821106899
LBN Legal business name Klett, Michael P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 1st, 2012 - about 14 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 1821106899 NPPES
Idaho MEDICAID 004312800

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