Krueger, Justin K
Krueger, Justin K is an sole proprietor health care provider with primary practice located at 140 Colemans Crossing Boulevard Suite 210, Marysville OH 43040-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krueger, Justin K can be contacted via phone (937) 644-1441.Contact Information
Primary practice address
140 Colemans Crossing Boulevard Suite 210
Marysville OH 43040-0000
Phone: (937) 644-1441
Fax: (937) 642-7760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35082295 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35082295 | Ohio |
Profile Details
| NPI number | 1528024197 |
|---|---|
| LBN Legal business name | Krueger, Justin K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Mar 22nd, 2017 - about 7 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 | 1528024197 | NPPES |
| Ohio | MEDICAID | 2545044 |
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