Kroeker, Jeremiah J

Kroeker, Jeremiah J is an sole proprietor health care provider with primary practice located at 15434 W Sage St , Victorville CA 92392-9751. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kroeker, Jeremiah J can be contacted via phone (760) 843-0506.

Contact Information

Primary practice address
15434 W Sage St Victorville CA 92392-9751
Phone: (760) 843-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95022927 California

Profile Details

NPI number 1669182812
LBN Legal business name Kroeker, Jeremiah J
Credentials BC-PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2022
Last updated Jun 10th, 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.

Request for update

Popular Providers