Krohn, Douglas Russell
Krohn, Douglas Russell is an sole proprietor health care provider with primary practice located at 24 Stelton Rd Ste A, Piscataway NJ 08854-2638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krohn, Douglas Russell can be contacted via phone (732) 424-0440.Contact Information
Primary practice address
24 Stelton Rd Ste A
Piscataway NJ 08854-2638
Phone: (732) 424-0440
Fax: (732) 424-0443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA48383 | New Jersey |
Profile Details
NPI number | 1891734471 |
---|---|
LBN Legal business name | Krohn, Douglas Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 6th, 2006 |
Last updated | Mar 13th, 2017 - about 7 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 | 1891734471 | NPPES |
New Jersey | MEDICAID | 1074742 |
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