Kruger, Nicole R.

Kruger, Nicole R. is an sole proprietor health care provider with primary practice located at 249 Clarkson Rd Suite 102, Ellisville MO 63011-2219. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kruger, Nicole R. can be contacted via phone (515) 557-0560.

Contact Information

Primary practice address
249 Clarkson Rd Suite 102 Ellisville MO 63011-2219
Phone: (515) 557-0560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2010042353 Missouri

Profile Details

NPI number 1154428076
LBN Legal business name Kruger, Nicole R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Mar 23rd, 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 1154428076 NPPES
Iowa Other 02934 WELLMARK BLUE CROSS
Iowa Other 7522737 WELLMARK BLUE CROSS
Iowa Other 42105384450265A022 WELLMARK BLUE CROSS

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