Krueckel, Jeff Scott

Krueckel, Jeff Scott is an individual health care provider with primary practice located at 1340 Santa Rosa St , San Luis Obispo CA 93401-3716. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Krueckel, Jeff Scott can be contacted via phone (805) 544-0671.

Contact Information

Primary practice address
1340 Santa Rosa St San Luis Obispo CA 93401-3716
Phone: (805) 544-0671
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 45723 California

Profile Details

NPI number 1235254996
LBN Legal business name Krueckel, Jeff Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 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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