Klewin, Mark

Klewin, Mark is an individual health care provider with primary practice located at 4038 E Towne Blvd , Madison WI 53704-3734. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Klewin, Mark can be contacted via phone (608) 240-2900.

Contact Information

Primary practice address
4038 E Towne Blvd Madison WI 53704-3734
Fax: (920) 887-9655
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1293-060 Wisconsin

Profile Details

NPI number 1114191996
LBN Legal business name Klewin, Mark
Credentials H,I.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Apr 14th, 2008 - about 17 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 1114191996 NPPES
Wisconsin MEDICAID 42840300

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