Kraker, David P
Kraker, David P is an individual health care provider with primary practice located at 8232 Highway 65 Ne , Spring Lake Park MN 55432-2095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Kraker, David P can be contacted via phone (763) 577-1877.Contact Information
Primary practice address
8232 Highway 65 Ne
Spring Lake Park MN 55432-2095
Phone: (763) 577-1877
Fax: (763) 577-1887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 35945 | Minnesota |
Profile Details
| NPI number | 1972554384 |
|---|---|
| LBN Legal business name | Kraker, David P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Dec 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972554384 | NPPES |
| Minnesota | Other | 38Q21KR | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 485072600 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | HP13737 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 0907745 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 115118 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 200033761 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 23959 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 936130496008 | BLUE CROSS BLUE SHIELD |
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