Klose, Michael

Klose, Michael is an individual health care provider with primary practice located at 1599 J St , Grand Forks Afb ND 58205-6306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Klose, Michael can be contacted via phone (701) 747-5601.

Contact Information

Primary practice address
1599 J St Grand Forks Afb ND 58205-6306
Phone: (701) 747-5601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1053717975
LBN Legal business name Klose, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2014
Last updated Jan 23rd, 2020 - about 5 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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