Kleva, Julie Elizabeth
Kleva, Julie Elizabeth is an individual health care provider with primary practice located at 622 W Maple St Suite E, Farmington NM 87401-6590. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kleva, Julie Elizabeth can be contacted via phone (505) 325-4003.Contact Information
Primary practice address
622 W Maple St Suite E
Farmington NM 87401-6590
Phone: (505) 325-4003
Fax: (505) 327-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2477 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 577 | New Mexico |
Profile Details
| NPI number | 1518922202 |
|---|---|
| LBN Legal business name | Kleva, Julie Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jul 25th, 2012 - 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 | 1518922202 | NPPES |
| Colorado | MEDICAID | 42682045 | |
| Colorado | MEDICAID | 76524230 |
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