Krouk, Marianne G.
Krouk, Marianne G. is an sole proprietor health care provider with primary practice located at 5294 Summerlin Commons Way Suite 1201, Fort Myers FL 33907-2164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Krouk, Marianne G. can be contacted via phone (239) 362-1339.Contact Information
Primary practice address
5294 Summerlin Commons Way Suite 1201
Fort Myers FL 33907-2164
Phone: (239) 362-1339
Fax: (239) 362-1340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | OS10199 | Florida |
Profile Details
| NPI number | 1881800902 |
|---|---|
| LBN Legal business name | Krouk, Marianne G. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 17th, 2015 - about 10 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 | 1881800902 | NPPES |
| Pennsylvania | MEDICAID | 414623 | |
| Pennsylvania | MEDICAID | 279276100 |
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