Provider Demographics
NPI:1154630267
Name:KLAUSNER CORPORATION
Entity Type:Organization
Organization Name:KLAUSNER CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAUSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:831-420-1400
Mailing Address - Street 1:129 JEWELL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1717
Mailing Address - Country:US
Mailing Address - Phone:831-420-1400
Mailing Address - Fax:831-420-1401
Practice Address - Street 1:129 JEWELL ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1717
Practice Address - Country:US
Practice Address - Phone:831-420-1400
Practice Address - Fax:831-420-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty