Provider Demographics
NPI:1194757344
Name:KLEIN, PAUL CHRISTIAN (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:CHRISTIAN
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 1:1270 GREENSPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8827
Mailing Address - Country:US
Mailing Address - Phone:717-840-8155
Mailing Address - Fax:
Practice Address - Street 1:1270 GREENSPRINGS DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8827
Practice Address - Country:US
Practice Address - Phone:717-840-8155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004617-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1146269Medicaid
PA1146269Medicaid