Kruger, Jeffery Lance
Kruger, Jeffery Lance is an individual health care provider with primary practice located at 735 Don Pasqual Rd Nw , Los Lunas NM 87031-8493. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kruger, Jeffery Lance can be contacted via phone (505) 865-3350.Contact Information
Primary practice address
735 Don Pasqual Rd Nw
Los Lunas NM 87031-8493
Phone: (505) 865-3350
Fax: (505) 865-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | New Mexico |
Profile Details
| NPI number | 1487915708 |
|---|---|
| LBN Legal business name | Kruger, Jeffery Lance |
| Credentials | MHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2012 |
| Last updated | Jun 4th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487915708 | NPPES |
| New Mexico | MEDICAID | 44842 |
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