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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134237605 | NPPES |
| California | MEDICAID | 000E13120 |
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