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
Fax: (765) 447-5939
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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 1922095769 NPPES
Indiana Other 000000382416 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200536400 ANTHEM PROVIDER NUMBER

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