Kraas, Jonathan

Kraas, Jonathan is an individual health care provider with primary practice located at 211 N Eddy St Department Of Radiology, South Bend IN 46617-2808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kraas, Jonathan can be contacted via phone (574) 204-6209.

Contact Information

Primary practice address
211 N Eddy St Department Of Radiology South Bend IN 46617-2808
Phone: (574) 204-6209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 28090 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28090 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008012506 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01066925A Indiana

Profile Details

NPI number 1104904812
LBN Legal business name Kraas, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 31st, 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 1104904812 NPPES
Indiana MEDICAID 200949250

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