Provider Demographics
NPI:1497905673
Name:KLEIN, JUSTIN M (DC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:M
Last Name:KLEIN
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 1:7808 TILBURY ST APT 8
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3549
Mailing Address - Country:US
Mailing Address - Phone:301-717-4722
Mailing Address - Fax:
Practice Address - Street 1:4900 MASSACHUSETTS AVE NW
Practice Address - Street 2:SUITE 250
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4358
Practice Address - Country:US
Practice Address - Phone:202-629-3536
Practice Address - Fax:202-379-1485
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH090093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor