Kroeger, Jeffrey Thomas Vaughan

Kroeger, Jeffrey Thomas Vaughan is an individual health care provider with primary practice located at 3801 Spring St , Racine WI 53405-1667. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kroeger, Jeffrey Thomas Vaughan can be contacted via phone (262) 687-4011.

Contact Information

Primary practice address
3801 Spring St Racine WI 53405-1667
Phone: (262) 687-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 133302-030 Wisconsin

Profile Details

NPI number 1154651115
LBN Legal business name Kroeger, Jeffrey Thomas Vaughan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2010
Last updated Feb 1st, 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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