Kruer, James A
Kruer, James A is an individual health care provider with primary practice located at 1315 Jesse Jewell Parkway Ne Ngpg Medical Park 1, Suite 110, Gainesville GA 30501. 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. Kruer, James A can be contacted via phone (770) 219-0023.Contact Information
Primary practice address
1315 Jesse Jewell Parkway Ne Ngpg Medical Park 1, Suite 110
Gainesville GA 30501
Phone: (770) 219-0023
Fax: (770) 219-0694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301060183 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301060183 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 079266 | Georgia |
Profile Details
| NPI number | 1457317919 |
|---|---|
| LBN Legal business name | Kruer, James A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 15th, 2017 - about 8 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 | 1457317919 | NPPES |
| Michigan | MEDICAID | 4194074 | |
| Michigan | MEDICAID | 079266 |
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