Kraska, Eric M

Kraska, Eric M is an individual health care provider with primary practice located at 2963 E Copper Point Dr , Meridian ID 83642-9055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kraska, Eric M can be contacted via phone (208) 947-0590.

Contact Information

Primary practice address
2963 E Copper Point Dr Meridian ID 83642-9055
Phone: (208) 947-0590
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004-0116 New Mexico
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD175591 Oregon

Profile Details

NPI number 1306893359
LBN Legal business name Kraska, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Sep 6th, 2017 - about 7 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 1306893359 NPPES
Other 10013393 LOVELACE
MEDICAID 62157256 LOVELACE
Other 85-0236178-031 LOVELACE
Other 85-0236178-021 LOVELACE
Other 14924 LOVELACE

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