Provider Demographics
NPI:1750379418
Name:KLEIN, ROBERT I (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:I
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 CLINT MOORE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2663
Mailing Address - Country:US
Mailing Address - Phone:561-988-1998
Mailing Address - Fax:561-988-8944
Practice Address - Street 1:1906 CLINT MOORE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2663
Practice Address - Country:US
Practice Address - Phone:561-988-1998
Practice Address - Fax:561-988-8944
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55532Medicare PIN
465435Medicare UPIN