Klocke, David L

Klocke, David L is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Klocke, David L can be contacted via phone (605) 755-1000.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7350
Phone: (605) 755-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36592 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8690 South Dakota

Profile Details

NPI number 1487624573
LBN Legal business name Klocke, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 13th, 2014 - about 10 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 1487624573 NPPES
Wisconsin MEDICAID 35102200
Wisconsin MEDICAID 402714100
Wisconsin Other 110002340
Wisconsin MEDICAID ENROLLED

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