Kloss, Douglas A.

Kloss, Douglas A. is an individual health care provider with primary practice located at 4818 S 76Th St Suite 3, Greenfield WI 53220-4362. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Kloss, Douglas A. can be contacted via phone (414) 281-8300.

Contact Information

Primary practice address
4818 S 76Th St Suite 3 Greenfield WI 53220-4362
Phone: (414) 281-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 152-156 Wisconsin

Profile Details

NPI number 1588875843
LBN Legal business name Kloss, Douglas A.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Mar 17th, 2018 - about 7 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 1588875843 NPPES
Wisconsin MEDICAID 100058601

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