Provider Demographics
NPI:1245326214
Name:KLINE, ERNEST RICHARD (DC)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:RICHARD
Last Name:KLINE
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 1:405 MCNEILLY ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226
Mailing Address - Country:US
Mailing Address - Phone:412-531-1787
Mailing Address - Fax:412-341-9973
Practice Address - Street 1:405 MCNEILLY ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226
Practice Address - Country:US
Practice Address - Phone:412-531-1787
Practice Address - Fax:412-341-9973
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001878L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0629834Medicaid
T27331Medicare UPIN
PA0629834Medicaid