Krumdieck, Richard
Krumdieck, Richard is an sole proprietor health care provider with primary practice located at 170 Medical Park Road Ste 101, Mooresville NC 28117-8524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Krumdieck, Richard can be contacted via phone (704) 799-3946.Contact Information
Primary practice address
170 Medical Park Road Ste 101
Mooresville NC 28117-8524
Phone: (704) 799-3946
Fax: (704) 799-3956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 9701019 | North Carolina |
Profile Details
| NPI number | 1063415669 |
|---|---|
| LBN Legal business name | Krumdieck, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Aug 18th, 2021 - about 4 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 | 1063415669 | NPPES |
| Other | 10907 | BCBS | |
| MEDICAID | 8910907 | BCBS |
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