Krukar, Jeffrey David

Krukar, Jeffrey David is an individual health care provider with primary practice located at 5800 N Bayshore Drive Suite A250 North Shore Psychotherapy Associates, Glendale WI 53217. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Krukar, Jeffrey David can be contacted via phone (414) 962-6764.

Contact Information

Primary practice address
5800 N Bayshore Drive Suite A250 North Shore Psychotherapy Associates Glendale WI 53217
Phone: (414) 962-6764
Fax: (414) 962-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2489057 Wisconsin

Profile Details

NPI number 1447328570
LBN Legal business name Krukar, Jeffrey David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1447328570 NPPES
Wisconsin MEDICAID 39144400

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