Kruchen, Mark G

Kruchen, Mark G is an individual health care provider with primary practice located at 8383 W Alameda Ave , Lakewood CO 80226-3007. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kruchen, Mark G can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
8383 W Alameda Ave Lakewood CO 80226-3007
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1169 Colorado

Profile Details

NPI number 1336106863
LBN Legal business name Kruchen, Mark G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336106863 NPPES
Colorado Other 004886 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 67403395 KAISER COMMERCIAL NUMBER

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