Klug, Dean A

Klug, Dean A is an individual health care provider with primary practice located at 7600 Wolf River Blvd Suite 220, Germantown TN 38138-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Klug, Dean A can be contacted via phone (901) 755-5300.

Contact Information

Primary practice address
7600 Wolf River Blvd Suite 220 Germantown TN 38138-1785
Fax: (901) 682-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD19774 Tennessee

Profile Details

NPI number 1265548713
LBN Legal business name Klug, Dean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 25th, 2018 - about 6 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 1265548713 NPPES
Tennessee Other 040007776 RR MEDICARE
Tennessee MEDICAID 3068397 RR MEDICARE
Tennessee Other 10400065 RR MEDICARE
Tennessee Other 3005838 RR MEDICARE

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