Brucker, Krista M

Brucker, Krista M is an individual health care provider with primary practice located at 147 W Green Meadows Dr Ste 2 , Greenfield IN 46140-4000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Brucker, Krista M can be contacted via phone (317) 318-0367.

Contact Information

Primary practice address
147 W Green Meadows Dr Ste 2 Greenfield IN 46140-4000
Phone: (317) 318-0367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01071924A Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 01071924A Indiana

Profile Details

NPI number 1497076376
LBN Legal business name Brucker, Krista M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Jun 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497076376 NPPES
Indiana MEDICAID 201212140

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