Kruckman, Michele A

Kruckman, Michele A is an individual health care provider with primary practice located at 4410 Regent St , Madison WI 53705-4901. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Lactation Consultant. Nursing Service Providers / Lactation Consultant is her primary health care specialty. Kruckman, Michele A can be contacted via phone (608) 233-9746.

Contact Information

Primary practice address
4410 Regent St Madison WI 53705-4901
Phone: (608) 233-9746
Fax: (608) 233-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 168199-030 Wisconsin
Nursing Service Providers / Lactation Consultant 163WL0100X 207511 Wisconsin

Profile Details

NPI number 1609104959
LBN Legal business name Kruckman, Michele A
Credentials RN, CLC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated Dec 12th, 2014 - 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.

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