Klucznik, Richard P
Klucznik, Richard P is an individual health care provider with primary practice located at 3100 E Fletcher Ave , Tampa FL 33613-4613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Klucznik, Richard P can be contacted via phone (813) 615-7075.Contact Information
Primary practice address
3100 E Fletcher Ave
Tampa FL 33613-4613
Phone: (813) 615-7075
Fax: (813) 615-8086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J2643 | Texas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME157552 | Florida |
Profile Details
| NPI number | 1235129958 |
|---|---|
| LBN Legal business name | Klucznik, Richard P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Apr 4th, 2023 - about last year |
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 | 1235129958 | NPPES |
| Texas | MEDICAID | 128899501 |
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