MEDICARE: ERIC KLINEDINST

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	367H00000X	Anesthesiologist Assistant

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	:	1902347123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC KLINEDINST

Provider Business Mailing Address
First Line	:	2126 MURRAY HILL RD APT 1
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2339
Country	:	US
Telephone Number	:	717-318-8957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2126 MURRAY HILL RD APT 1
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2339
Country	:	US
Telephone Number	:	717-318-8957
Fax Number	:

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

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	09/05/2017

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