Kraft, Rod

Kraft, Rod is an individual health care provider with primary practice located at 1630 E Herndon Ave , Fresno CA 93720-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kraft, Rod can be contacted via phone (559) 256-5200.

Contact Information

Primary practice address
1630 E Herndon Ave Fresno CA 93720-3305
Phone: (559) 256-5200
Fax: (559) 256-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G59573 California

Profile Details

NPI number 1851374979
LBN Legal business name Kraft, Rod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 28th, 2022 - about 2 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 1851374979 NPPES
California Other 0170280 STATE OF WASHINGTON
California Other 200046268 STATE OF WASHINGTON

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