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KLAIN HEASLEY NETTLETON MD PC NPI 1386962942


NPI Information

NPI: 1386962942
Provider Name: KLAIN, HEASLEY, NETTLETON MD PC

Doing Business As: MATTHEW N KLAIN MD-BLAIRSVILLE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
25 COLONY BLVD STE 102
BLAIRSVILLE, PA
ZIP 15717
Phone: (724) 459-9111
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KLAIN, HEASLEY, NETTLETON MD PC is a non pharmacy dispensing site in Blairsville, PA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) KLAIN, HEASLEY, NETTLETON MD PC NPI is 1386962942. The provider is registered as an organization entity type.
The provider Is Doing Business As Matthew N Klain Md-blairsville.

The provider's business location address is:

25 COLONY BLVD STE 102
BLAIRSVILLE, PA
ZIP 15717-971
Phone: (724) 459-9111

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 4/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteMD041299LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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