Kleven, Chad L
Kleven, Chad L is an individual health care provider with primary practice located at 870 11Th Ave , Longview WA 98632-2402. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kleven, Chad L can be contacted via phone (360) 425-4900.Contact Information
Primary practice address
870 11Th Ave
Longview WA 98632-2402
Phone: (360) 425-4900
Fax: (360) 636-4641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8719 | Washington |
| Dental Providers / Dentist | 122300000X | DE00008719 | Washington |
Profile Details
| NPI number | 1013128438 |
|---|---|
| LBN Legal business name | Kleven, Chad L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 22nd, 2021 - about 3 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 | 1013128438 | NPPES |
| Washington | Other | 201872862 | TAX ID |
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