Krantz, Leland K

Krantz, Leland K is an individual health care provider with primary practice located at 2001 S Woodruff Ave Suite #15, Idaho Falls ID 83404-6374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krantz, Leland K can be contacted via phone (208) 522-7310.

Contact Information

Primary practice address
2001 S Woodruff Ave Suite #15 Idaho Falls ID 83404-6374
Phone: (208) 522-7310
Fax: (208) 524-0559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M3620 Idaho

Profile Details

NPI number 1588609903
LBN Legal business name Krantz, Leland K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 7th, 2023 - about last year

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 1588609903 NPPES
Idaho Other 000010004088 REGENCE BLUE SHIELD
Idaho Other 3620-2 REGENCE BLUE SHIELD
Idaho Other MD1942 REGENCE BLUE SHIELD

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