Kline, Carol Sue
Kline, Carol Sue is an individual health care provider with primary practice located at 1835 Ximeno Ave , Long Beach CA 90815-2850. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kline, Carol Sue can be contacted via phone (562) 453-1111.Contact Information
Primary practice address
1835 Ximeno Ave
Long Beach CA 90815-2850
Phone: (562) 453-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 31043 | California |
Profile Details
| NPI number | 1720506660 |
|---|---|
| LBN Legal business name | Kline, Carol Sue |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Aug 30th, 2017 - about 8 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 | 1720506660 | NPPES |
| California | MEDICAID | 31043 |
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