Sheila G Klein, AUD

Individual provider Active NPI Audiologist · Minot, ND

NPI 1073600946 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1073600946
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
615 (ND)
Practice address
101 3Rd Ave SW
Minot, ND 58701-3880
Phone
(701) 857-5986
Fax
(701) 857-5029
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
615NDMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 615 ND Yes

Addresses

Primary practice location

101 3Rd Ave SW
Minot, ND 58701-3880

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650

Other identifiers

IdentifierTypeStateIssuer
50177MedicaidND

Other providers in Minot, ND

All providers in Minot, ND · Audiologist in North Dakota

Sources for this page

Verify at the official NPI Registry.