Krebs, Kenneth A

Krebs, Kenneth A is an individual health care provider with primary practice located at 30 N Michigan Ave Ste 822, Chicago IL 60602-3805. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is his primary health care specialty. Krebs, Kenneth A can be contacted via phone (312) 332-3937.

Contact Information

Primary practice address
30 N Michigan Ave Ste 822 Chicago IL 60602-3805
Phone: (312) 332-3937
Fax: (312) 332-3929
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19-013265 Illinois
Dental Providers / Periodontics 1223P0300X 21-000664 Illinois

Profile Details

NPI number 1629070743
LBN Legal business name Krebs, Kenneth A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 17 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 1629070743 NPPES
Illinois Other 21-000664 SPECIALTY LICENSE
Illinois Other 19-013265 SPECIALTY LICENSE

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