Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC207 | HI |
NPI | 1750389094 |
---|---|
Provider Name | Dr. Robert E Klein |
First Address | Hilo, HI 96720-5233 |
Second Address | Hilo, HI 96720-5233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 08/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T41180 | (02) | HI |