Kreutz, Berny J
Kreutz, Berny J is an individual health care provider with primary practice located at 6420 Rockledge Dr 2200, Bethesda MD 20817-7837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kreutz, Berny J can be contacted via phone (301) 896-6880.Contact Information
Primary practice address
6420 Rockledge Dr 2200
Bethesda MD 20817-7837
Phone: (301) 896-6880
Fax: (301) 896-6868
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0012566 | Maryland |
Profile Details
NPI number | 1629073549 |
---|---|
LBN Legal business name | Kreutz, Berny J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Dec 4th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629073549 | NPPES |
Other | 30056 | MDIPA | |
MEDICAID | 415096100 | MDIPA | |
Other | 5062BJ | MDIPA | |
MEDICAID | 212221900 | MDIPA |
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