Klumpe, Marynelle J

Klumpe, Marynelle J is an individual health care provider with primary practice located at 212 Heritage Park Dr , Murfreesboro TN 37129-1549. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Klumpe, Marynelle J can be contacted via phone (615) 893-5022.

Contact Information

Primary practice address
212 Heritage Park Dr Murfreesboro TN 37129-1549
Phone: (615) 893-5022
Fax: (615) 893-7184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24570 Tennessee

Profile Details

NPI number 1932205150
LBN Legal business name Klumpe, Marynelle J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 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 1932205150 NPPES
Tennessee MEDICAID 3845196

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