Klumpar, David Ivan

Klumpar, David Ivan is an sole proprietor health care provider with primary practice located at 125 Fox Hollow Road Suite 210, Pinehurst NC 28374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Klumpar, David Ivan can be contacted via phone (910) 295-7546.

Contact Information

Primary practice address
125 Fox Hollow Road Suite 210 Pinehurst NC 28374
Phone: (910) 295-7546
Fax: (910) 692-2831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34653 North Carolina

Profile Details

NPI number 1730283276
LBN Legal business name Klumpar, David Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1730283276 NPPES
North Carolina MEDICAID 8949708
North Carolina Other 0153Y
North Carolina Other CE7551

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