Krueger, Daniel

Krueger, Daniel is an individual health care provider with primary practice located at 2828 E State Blvd Ste A , Fort Wayne IN 46805-4761. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Krueger, Daniel can be contacted via phone (260) 482-6689.

Contact Information

Primary practice address
2828 E State Blvd Ste A Fort Wayne IN 46805-4761
Phone: (260) 482-6689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010165A Indiana

Profile Details

NPI number 1871531228
LBN Legal business name Krueger, Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jan 16th, 2023 - about 2 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 1871531228 NPPES
Indiana MEDICAID 200270720B

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