Krueger, Shannon D

Krueger, Shannon D is an individual health care provider with primary practice located at 430 N Monte Vista St , Ada OK 74820-4610. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Krueger, Shannon D can be contacted via phone (580) 421-1511.

Contact Information

Primary practice address
430 N Monte Vista St Ada OK 74820-4610
Phone: (580) 421-1511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 754947 Texas

Profile Details

NPI number 1033764378
LBN Legal business name Krueger, Shannon D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 5 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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