Ms Theresa D Klose, is a
Dietitian, Registered based in Mafb, Alabama. Ms Theresa D Klose is licensed to practice in Alabama (license number 1494) and her current practice location is
700 Twining Street, Mafb, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 953-5143.
NPI number for Ms Theresa D Klose is 1467447946 and her current mailing address is 3181 Old Mill Run, Millbrook, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467447946.
Healthcare Provider's Profile
Full Name | Ms Theresa D Klose |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 700 Twining Street, Mafb, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467447946
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Theresa D Klose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467447946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1494 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Theresa D Klose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Theresa D Klose, 3181 Old Mill Run, Millbrook, AL 36054-2810 Ph: (334) 290-1826 | Ms Theresa D Klose, 700 Twining Street, Mafb, AL 36112 Ph: (334) 953-5143 |
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