Peter Blair Klejna
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Williamsburg, MA
NPI 1780930776 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1780930776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 58 South St
Williamsburg, MA 01096-9726 - Phone
- (413) 268-3257
- NPI assigned
- Jul 27, 2012
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
58 South St
Williamsburg, MA 01096-9726
Mailing address
58 South St
Williamsburg, MA 01096-9726
Phone (413) 268-3257
Other providers in Williamsburg, MA
- Michael Galaburri
- Nicholas Cushman Harder
- Heartwood Expeditions
- Karen Hendry
- Mary Hasty Hickok
- Abigail Jeanette Knopp
- Gary Patrick Kuntz
- Chrystine Marie Longley
- Danielle Lulek
- Christine Maksimowicz
All providers in Williamsburg, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. 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.