MEDICARE: DR. NICHOLAS A KLAIBER MD

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	207K00000X	Allergy & Immunology Physician	0101256787	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396182275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS A KLAIBER MD

Provider Business Mailing Address
First Line	:	812 MOOREFIELD PARK DR STE 101
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3684
Country	:	US
Telephone Number	:	757-746-9974
Fax Number	:	840-244-3467

Provider Business Practice Location Address
First Line	:	812 MOOREFIELD PARK DR STE 101
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3684
Country	:	US
Telephone Number	:	804-293-0917
Fax Number	:	840-244-3467

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

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	11/14/2025

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