Healthcare Provider Details

I. General information

NPI: 1710891619
Provider Name (Legal Business Name): ANDREW PHILIP KLAUS AEMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1438 E BREESE RD
LIMA OH
45806-2712
US

IV. Provider business mailing address

1438 E BREESE RD
LIMA OH
45806-2712
US

V. Phone/Fax

Practice location:
  • Phone: 567-204-7477
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number0171327
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: