Krueger, Philip John

Krueger, Philip John is an sole proprietor health care provider with primary practice located at 901 Campus Dr Suite 111, Daly City CA 94015-4900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Krueger, Philip John can be contacted via phone (650) 991-9400.

Contact Information

Primary practice address
901 Campus Dr Suite 111 Daly City CA 94015-4900
Phone: (650) 991-9400
Fax: (650) 991-2650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A87975 California

Profile Details

NPI number 1376674390
LBN Legal business name Krueger, Philip John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Apr 6th, 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 1376674390 NPPES
Idaho MEDICAID 807797600
Idaho MEDICAID MD5132W
Idaho MEDICAID 8485617

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