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Contact Information

JOHN KLOSTER
4461 MAIN ST,
PEQUOT LAKES, MN56472
 Phone: 218-568-5555
 Fax: 218-568-8904
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOHN KLOSTER · (Female)

NPI # 1396918884
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2008
Last updated 06/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 2316
  • MN Medicaid 050325800
  • MN Other 64756PE BLUE CROSS/ BLUE SHIELD
  • MN Other 2220699 MEDICA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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