Klingenbeck, Robert Patrick
Klingenbeck, Robert Patrick is an sole proprietor health care provider with primary practice located at 1415 Rainbow Dr , Gadsden AL 35901-5319. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Klingenbeck, Robert Patrick can be contacted via phone (256) 546-5782.Contact Information
Primary practice address
1415 Rainbow Dr
Gadsden AL 35901-5319
Phone: (256) 546-5782
Fax: (256) 547-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S380TA051 | Alabama |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | S380TA051 | Alabama |
Profile Details
| NPI number | 1952570988 |
|---|---|
| LBN Legal business name | Klingenbeck, Robert Patrick |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2008 |
| Last updated | Mar 3rd, 2008 - about 16 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 | 1952570988 | NPPES |
| Alabama | Other | 0605110001 | PALMETTO GBA-J |
| Alabama | Other | 51059448 | PALMETTO GBA-J |
| Alabama | Other | 220NMEDCAREPRO | PALMETTO GBA-J |
| Alabama | Other | T68961 | PALMETTO GBA-J |
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