Kroepel, Larry Ray

Kroepel, Larry Ray is an individual health care provider with primary practice located at 5525 Grossmont Center Dr , La Mesa CA 91942-3009. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kroepel, Larry Ray can be contacted via phone (619) 644-6750.

Contact Information

Primary practice address
5525 Grossmont Center Dr La Mesa CA 91942-3009
Phone: (619) 644-6750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1312 California

Profile Details

NPI number 1134237605
LBN Legal business name Kroepel, Larry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1134237605 NPPES
California MEDICAID 000E13120

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