| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jacob Lawrence Klein · KLEIN JACOB LAWRENCE | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jacob | [sources] | |||
| ID Number | 00019141 | [sources] | |||
| Last name | Klein | [sources] | |||
| Middle name | Lawrence | [sources] | |||
| NPI | 1861865552 | [sources] | |||
| Registration number | 54936 | [sources] | |||
| Sector | Physician Assistant | [sources] | |||
| Position | PHYSICIAN ASSISTANT (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 400 Chestnut Bluff Lane, Wirtz, VA, 24184 · P O BOX 618, AUBURN, NY 13021 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-fed-excl-jacob-lawrence-klein-13021-auburn · us-medny-1d1947a92c336d085647f0ecda8378590c60de48 · us-medca-19d7d7d9832aa83e4e3db0cba5b2dd3ca7351fe1For experts: raw data explorer
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| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | Department of Health Care Services | - | - |