Krueger, Paul Leroy

Krueger, Paul Leroy is an sole proprietor health care provider with primary practice located at 3003 N Highway 61 , Muscatine IA 52761-5811. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Krueger, Paul Leroy can be contacted via phone (563) 262-8161.

Contact Information

Primary practice address
3003 N Highway 61 Muscatine IA 52761-5811
Fax: (563) 262-8987
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02118 Iowa

Profile Details

NPI number 1902908627
LBN Legal business name Krueger, Paul Leroy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Jan 31st, 2013 - about 12 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 1902908627 NPPES
Iowa Other 33143 WELLMARK BCBS #
Iowa MEDICAID 1213751 WELLMARK BCBS #

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