Provider Demographics
NPI:1609104082
Name:STEPHEN R. KLAPPER MD, LLC
Entity Type:Organization
Organization Name:STEPHEN R. KLAPPER MD, LLC
Other - Org Name:KLAPPER EYELID & FACIAL PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:KLAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-818-1000
Mailing Address - Street 1:11590 N MERIDIAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6955
Mailing Address - Country:US
Mailing Address - Phone:317-818-1000
Mailing Address - Fax:317-818-1001
Practice Address - Street 1:11590 N MERIDIAN ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-6955
Practice Address - Country:US
Practice Address - Phone:317-818-1000
Practice Address - Fax:317-818-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01048211A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty