MEDICARE: DR. DAVID JOSEPH KLOSTERMAN D.C.

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
1	111N00000X	Chiropractor	2768	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000236618	OTHER	OH	ANTHEM BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	667017	OTHER		UNITED HEALTH CARE

General Provider Information

NPI Number	:	1174577282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH KLOSTERMAN D.C.

Provider Business Mailing Address
First Line	:	14815 MANDARIN RD STE 103
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-2608
Country	:	US
Telephone Number	:	937-623-1906
Fax Number	:

Provider Business Practice Location Address
First Line	:	14815 MANDARIN RD STE 103
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-2608
Country	:	US
Telephone Number	:	904-512-7449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	02/20/2026

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