Doctor Name: | DR. ELLIOT L KLEINMAN |
NPI Number: | 1003831538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 07000448 |
Business Practice Address: | 3760 S 4th St Terre Haute, IN - 478025507 |
Business Phone Number: | 8122343558 |
Business Fax Number: | 8122320355 |
Mailing Address: | 3760 S 4th St, TERRE HAUTE |
State: | IN |
Postal Code: | 478025507 |
Phone Number: | 8122343558 |
Fax Number: | 8122320355 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 07000448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |