Provider Demographics
NPI:1265450431
Name:KLEINMAN, THOMAS D (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:KLEINMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2621
Mailing Address - Country:US
Mailing Address - Phone:772-781-9987
Mailing Address - Fax:772-781-5384
Practice Address - Street 1:1339 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2621
Practice Address - Country:US
Practice Address - Phone:772-781-9987
Practice Address - Fax:772-781-5384
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004323111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3822596OtherHEALTHMARKET
FL361657900OtherOWCP
FL350056451OtherRAILROAD MEDICARE
FL70320Medicare PIN
FLT85409Medicare UPIN