Provider Demographics
NPI:1942231857
Name:KLEIN, LOUIS D (MD)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:D
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451308
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0634
Mailing Address - Country:US
Mailing Address - Phone:440-356-4227
Mailing Address - Fax:440-356-4231
Practice Address - Street 1:20220 CENTER RIDGE RD
Practice Address - Street 2:# 336
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3501
Practice Address - Country:US
Practice Address - Phone:440-356-4227
Practice Address - Fax:440-356-4231
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350427652084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0686128Medicaid
OH0686128Medicaid
OH4037831Medicare PIN
4037831Medicare ID - Type Unspecified