Provider Demographics
NPI:1952586208
Name:JOHN KLAUS, D.P.M.
Entity Type:Organization
Organization Name:JOHN KLAUS, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-392-5447
Mailing Address - Street 1:327 CURTIS AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5201
Mailing Address - Country:US
Mailing Address - Phone:410-392-5447
Mailing Address - Fax:410-392-4339
Practice Address - Street 1:327 CURTIS AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5201
Practice Address - Country:US
Practice Address - Phone:410-392-5447
Practice Address - Fax:410-392-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00412332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0592270001Medicare NSC