Robert Evan Klein, D.C.
Individual provider Active NPI Chiropractor · Norwood, NY
NPI 1497846372 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1497846372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X001921-1 (NY)
- Practice address
- 40 N Main St
Norwood, NY 13668-1121 - Phone
- (315) 353-6655
- Fax
- (315) 353-6656
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| X001921-1 | NY | MD | Chiropractor |
| 001921 | NY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X001921-1 | NY | Yes |
Addresses
Primary practice location
40 N Main St
Norwood, NY 13668-1121
Mailing address
PO Box 105
Norwood, NY 13668-0105
Phone (315) 353-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO1921-8 | Other | NY | NY WORKER'S COMP AUTHORIZ |
Other providers in Norwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.