Kruitbosch, Shane H

Kruitbosch, Shane H is an sole proprietor health care provider with primary practice located at 4165 Twin Falls Dr , Reno NV 89511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kruitbosch, Shane H can be contacted via phone (775) 348-1313.

Contact Information

Primary practice address
4165 Twin Falls Dr Reno NV 89511
Phone: (775) 348-1313
Fax: (775) 348-1798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K9827 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C134131 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD207244 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10083 Nevada

Profile Details

NPI number 1649218611
LBN Legal business name Kruitbosch, Shane H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Feb 5th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649218611 NPPES
Nevada MEDICAID 2016072

Popular Providers