Provider Demographics
NPI:1306995816
Name:KLEBER, WILLIAM M (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:KLEBER
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 1:1211 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-9380
Mailing Address - Country:US
Mailing Address - Phone:970-532-2755
Mailing Address - Fax:
Practice Address - Street 1:1211 LAKE AVE
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513-9380
Practice Address - Country:US
Practice Address - Phone:970-532-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3454111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC27693Medicare PIN