Krakover, Brian A

Krakover, Brian A is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Krakover, Brian A can be contacted via phone (270) 461-4904.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 461-4904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L6089 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2009-02018 North Carolina

Profile Details

NPI number 1144206319
LBN Legal business name Krakover, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 26th, 2024 - about 6 months 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 1144206319 NPPES
Texas MEDICAID 165540904
Texas MEDICAID 165540901
Texas Other 8J1753
Texas Other 8R3171

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