Klinekole, Bruce Wayne
Klinekole, Bruce Wayne is an individual health care provider with primary practice located at 500 Mechem Dr Ste C , Ruidoso NM 88345-6950. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Klinekole, Bruce Wayne can be contacted via phone (505) 257-7970.Contact Information
Primary practice address
500 Mechem Dr Ste C
Ruidoso NM 88345-6950
Phone: (505) 257-7970
Fax: (505) 257-7970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 1375 | New Mexico |
Profile Details
| NPI number | 1093720864 |
|---|---|
| LBN Legal business name | Klinekole, Bruce Wayne |
| Credentials | D.C., D.A.C.N.B. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093720864 | NPPES |
| New Mexico | Other | 51562 | HMO NEW MEXICO |
| New Mexico | MEDICAID | L4208 | HMO NEW MEXICO |
| New Mexico | Other | KC53 | HMO NEW MEXICO |
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