Krauss, Michael D
Krauss, Michael D is an individual health care provider with primary practice located at 1411 S Creasy Ln Suite 120, Lafayette IN 47905-7438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Krauss, Michael D can be contacted via phone (765) 447-4165.Contact Information
Primary practice address
1411 S Creasy Ln Suite 120
Lafayette IN 47905-7438
Phone: (765) 447-4165
Fax: (765) 447-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01037755A | Indiana |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 01037755A | Indiana |
Profile Details
| NPI number | 1922095769 |
|---|---|
| LBN Legal business name | Krauss, Michael D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Jun 15th, 2020 - about 6 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 | 1922095769 | NPPES |
| Indiana | Other | 000000382416 | ANTHEM PROVIDER NUMBER |
| Indiana | MEDICAID | 200536400 | ANTHEM PROVIDER NUMBER |
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