Kraut, Evelyn

Kraut, Evelyn is an individual health care provider with primary practice located at 18 Railroad Ave Suite 103, Rochelle Park NJ 07662-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kraut, Evelyn can be contacted via phone (201) 928-0748.

Contact Information

Primary practice address
18 Railroad Ave Suite 103 Rochelle Park NJ 07662-4105
Fax: (201) 291-2328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04282800 New Jersey

Profile Details

NPI number 1669464657
LBN Legal business name Kraut, Evelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jan 21st, 2013 - about 11 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 1669464657 NPPES
New Jersey MEDICAID 388505

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