Kroger, John Russell
Kroger, John Russell is an individual health care provider with primary practice located at 1462 Marion Waldo Rd , Marion OH 43302-7422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kroger, John Russell can be contacted via phone (740) 389-5418.Contact Information
Primary practice address
1462 Marion Waldo Rd
Marion OH 43302-7422
Phone: (740) 389-5418
Fax: (740) 389-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 35141469 | Ohio |
Profile Details
| NPI number | 1740712785 |
|---|---|
| LBN Legal business name | Kroger, John Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2017 |
| Last updated | Jul 25th, 2022 - about 4 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 | 1740712785 | NPPES |
| Ohio | MEDICAID | 0442188 |
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