Kriege, James R

Kriege, James R is an individual health care provider with primary practice located at 5300 52Nd St , Kenosha WI 53144-2310. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kriege, James R can be contacted via phone (262) 658-8119.

Contact Information

Primary practice address
5300 52Nd St Kenosha WI 53144-2310
Phone: (262) 658-8119
Fax: (262) 658-8261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1814 Wisconsin

Profile Details

NPI number 1053368969
LBN Legal business name Kriege, James R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
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 1053368969 NPPES
Wisconsin MEDICAID 38413700

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