Krodel, Emily Elizabeth

Krodel, Emily Elizabeth is an individual health care provider with primary practice located at 3001 S Creasy Ln Ste 100A , Lafayette IN 47905-5206. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Krodel, Emily Elizabeth can be contacted via phone (765) 420-5800.

Contact Information

Primary practice address
3001 S Creasy Ln Ste 100A Lafayette IN 47905-5206
Phone: (765) 420-5800
Fax: (765) 420-5801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 38667 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL32728 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01081039A Indiana

Profile Details

NPI number 1760794762
LBN Legal business name Krodel, Emily Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Oct 9th, 2023 - about 2 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 1760794762 NPPES
Indiana Other M147140151 MEDICARE PTAN
Indiana MEDICAID 300019190 MEDICARE PTAN

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