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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730283276 | NPPES |
| North Carolina | MEDICAID | 8949708 | |
| North Carolina | Other | 0153Y | |
| North Carolina | Other | CE7551 |
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