Provider Demographics
NPI:1114129566
Name:KLEIN CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:KLEIN CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-841-4457
Mailing Address - Street 1:12812 101ST AVENUE CT E
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-9101
Mailing Address - Country:US
Mailing Address - Phone:253-841-4457
Mailing Address - Fax:253-841-8526
Practice Address - Street 1:12812 101ST AVENUE CT E
Practice Address - Street 2:SUITE 104
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-9101
Practice Address - Country:US
Practice Address - Phone:253-841-4457
Practice Address - Fax:253-841-8526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty