Kresge, Carrie

Kresge, Carrie is an individual health care provider with primary practice located at 1 Medical Center Blvd , Upland PA 19013-3902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kresge, Carrie can be contacted via phone (610) 447-2517.

Contact Information

Primary practice address
1 Medical Center Blvd Upland PA 19013-3902
Fax: (610) 956-0069
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD045896L Pennsylvania

Profile Details

NPI number 1992790349
LBN Legal business name Kresge, Carrie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 8th, 2011 - about 13 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 1992790349 NPPES
Pennsylvania MEDICAID 1464120

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