Krug, Marshall R.

Krug, Marshall R. is an individual health care provider with primary practice located at 3042 N Federal Hwy Suite 201, Fort Lauderdale FL 33306-1400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Krug, Marshall R. can be contacted via phone (954) 232-0147.

Contact Information

Primary practice address
3042 N Federal Hwy Suite 201 Fort Lauderdale FL 33306-1400
Fax: (954) 563-1079
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA 39823 Florida

Profile Details

NPI number 1831144963
LBN Legal business name Krug, Marshall R.
Credentials BA, LMT, NCTMB
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 1st, 2011 - about 13 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 1831144963 NPPES
Florida MEDICAID 688384200

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