Krueger, David W

Krueger, David W is an individual health care provider with primary practice located at 1006 S 64Th Ave Ste 110 , Yakima WA 98908-2090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Krueger, David W can be contacted via phone (509) 902-3625.

Contact Information

Primary practice address
1006 S 64Th Ave Ste 110 Yakima WA 98908-2090
Fax: (509) 676-3415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 00023988 Washington

Profile Details

NPI number 1235282302
LBN Legal business name Krueger, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Feb 9th, 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 1235282302 NPPES
Washington MEDICAID 8309957

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