Provider Demographics
NPI:1154877082
Name:M KLEMPNER, D.C.,P.A.
Entity type:Organization
Organization Name:M KLEMPNER, D.C.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ERROL
Authorized Official - Last Name:KLEMPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-777-7312
Mailing Address - Street 1:2240 W WOOLBRIGHT RD STE 414
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6367
Mailing Address - Country:US
Mailing Address - Phone:561-777-7312
Mailing Address - Fax:
Practice Address - Street 1:2240 W WOOLBRIGHT RD STE 414
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6367
Practice Address - Country:US
Practice Address - Phone:561-777-7312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11N000000XOtherCHIROPRACTOR