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NPI Code Detail

MEDICARE: TANNER JOSEPH KLEIN DC

MEDICARE: TANNER JOSEPH KLEIN DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIA-2121ID

General Provider Information

NPI Number : 1134795453
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANNER JOSEPH KLEIN DC
Provider Business Mailing Address
First Line : 2634 N GOVERNMENT WAY
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-3750
Country : US
Telephone Number : 208-664-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2634 N GOVERNMENT WAY
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-3750
Country : US
Telephone Number : 208-664-1000
Fax Number : 208-664-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2021
Last Update Date : 05/27/2021

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Directions to “ TANNER JOSEPH KLEIN DC” Practice Location

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