Kroetsch, Laura Ann
Kroetsch, Laura Ann is an individual health care provider with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kroetsch, Laura Ann can be contacted via phone (701) 298-4500.Contact Information
Primary practice address
2624 9Th Ave S
Fargo ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 10120 | North Dakota |
Profile Details
| NPI number | 1740382456 |
|---|---|
| LBN Legal business name | Kroetsch, Laura Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Sep 5th, 2008 - 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 | 1740382456 | NPPES |
| Minnesota | MEDICAID | 635192100 | |
| Minnesota | MEDICAID | 13648 | |
| Minnesota | Other | 274G0BE | |
| Minnesota | Other | 26319 |
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