Krug, Ernest
Krug, Ernest is an individual health care provider with primary practice located at 1695 W 12 Mile Rd Ste. 120, Berkley MI 48072-2182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Krug, Ernest can be contacted via phone (248) 691-4744.Contact Information
Primary practice address
1695 W 12 Mile Rd Ste. 120
Berkley MI 48072-2182
Phone: (248) 691-4744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 4301060939 | Michigan |
Profile Details
| NPI number | 1366402075 |
|---|---|
| LBN Legal business name | Krug, Ernest |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366402075 | NPPES |
| Michigan | MEDICAID | 2929992 | |
| Michigan | Other | 3506314650 |
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