Kroeker, Roy O

Kroeker, Roy O is an sole proprietor health care provider with primary practice located at 7081 N Marks Ave 104 Pmb 358, Fresno CA 93711-0232. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Kroeker, Roy O can be contacted via phone (559) 432-5565.

Contact Information

Primary practice address
7081 N Marks Ave 104 Pmb 358 Fresno CA 93711-0232
Phone: (559) 432-5565
Fax: (559) 432-5255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E14010 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E14010 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X FZ216Z California

Profile Details

NPI number 1790829992
LBN Legal business name Kroeker, Roy O
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated May 13th, 2024 - about last year

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 1790829992 NPPES
California MEDICAID 000E14010
California Other 196282200
California Other E14010

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