Krueger, Jon Russell

Krueger, Jon Russell is an individual health care provider with primary practice located at 420 W 5Th Ave , Flint MI 48503-2445. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Krueger, Jon Russell can be contacted via phone (810) 257-3736.

Contact Information

Primary practice address
420 W 5Th Ave Flint MI 48503-2445
Fax: (989) 723-1205
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704205426 Michigan

Profile Details

NPI number 1033473749
LBN Legal business name Krueger, Jon Russell
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jul 21st, 2022 - 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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