Krell, Bruce W

Krell, Bruce W is an sole proprietor health care provider with primary practice located at 725 S Dobson Rd Ste 203, Chandler AZ 85224-5680. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Krell, Bruce W can be contacted via phone (480) 807-8532.

Contact Information

Primary practice address
725 S Dobson Rd Ste 203 Chandler AZ 85224-5680
Phone: (480) 807-8532
Fax: (480) 807-0420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0316 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X AZ00316 Arizona

Profile Details

NPI number 1831149103
LBN Legal business name Krell, Bruce W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Jan 28th, 2014 - about 10 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 1831149103 NPPES
Arizona Other AZ0191480 BLUE CROSS/BLUE SHIELD
Arizona MEDICAID 69965001 BLUE CROSS/BLUE SHIELD
Arizona Other 609973800 BLUE CROSS/BLUE SHIELD

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