Provider Demographics
NPI:1497954408
Name:KLEINMAN, JARL (DC)
Entity Type:Individual
Prefix:DR
First Name:JARL
Middle Name:
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 1:85 QUARTEMASTER CT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-218-9133
Mailing Address - Fax:812-285-1882
Practice Address - Street 1:85 QUARTERMASTER CT
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3623
Practice Address - Country:US
Practice Address - Phone:812-218-9133
Practice Address - Fax:812-285-1882
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN08002872AOtherCHIROPRACTIC LICENCE
IN1024Medicare PIN
IN08002872AOtherCHIROPRACTIC LICENCE