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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1629073549 NPPES
Other 30056 MDIPA
MEDICAID 415096100 MDIPA
Other 5062BJ MDIPA
MEDICAID 212221900 MDIPA

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