Krueger, Bruce Alan
Krueger, Bruce Alan is an sole proprietor health care provider with primary practice located at 20190 Market St. , Onancock VA 23417. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Krueger, Bruce Alan can be contacted via phone (757) 789-3402.Contact Information
Primary practice address
20190 Market St.
Onancock VA 23417
Phone: (757) 789-3402
Fax: (757) 789-3862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0103000404 | Virginia |
Profile Details
| NPI number | 1952330219 |
|---|---|
| LBN Legal business name | Krueger, Bruce Alan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1952330219 | NPPES |
| Virginia | MEDICAID | 93-0164-0 |
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