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Individual

CHAD ERIC KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
100 N 4TH AVE W, NEWTON, IA 50208
(641) 792-7900
(641) 792-8663
Mailing address
100 N 4TH AVE W, NEWTON, IA 50208
(641) 792-7900
(641) 792-8663

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02331
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195255
IA
01
02823
BCBS
IA
05
0474965
IA
01
19525
GROUP BCBS
IA
Enumeration date
05/03/2006
Last updated
01/31/2011
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