Kloberdanz, Dennis R
Kloberdanz, Dennis R is an individual health care provider with primary practice located at 2300 E 30Th St Bldg D Ste 101, Farmington NM 87401-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Kloberdanz, Dennis R can be contacted via phone (505) 327-1400.Contact Information
Primary practice address
2300 E 30Th St Bldg D Ste 101
Farmington NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 327-3474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 87-256 | New Mexico |
Profile Details
| NPI number | 1174517601 |
|---|---|
| LBN Legal business name | Kloberdanz, Dennis R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174517601 | NPPES |
| New Mexico | MEDICAID | 8060 | |
| New Mexico | Other | 00NM001536 | |
| New Mexico | Other | 87-256 |
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