Kroeker, Byron L

Kroeker, Byron L is an individual health care provider with primary practice located at 200 China Grade Loop , Bakersfield CA 93308-1735. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kroeker, Byron L can be contacted via phone (661) 615-6150.

Contact Information

Primary practice address
200 China Grade Loop Bakersfield CA 93308-1735
Phone: (661) 615-6150
Fax: (661) 615-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 19887 California

Profile Details

NPI number 1104818277
LBN Legal business name Kroeker, Byron L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 15th, 2010 - about 14 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 1104818277 NPPES
California Other 0PT198871 MEDICARE INDIVIDUAL PTAN
California Other ZZZ21295Z MEDICARE INDIVIDUAL PTAN
California Other P00077627 MEDICARE INDIVIDUAL PTAN

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