Krumrey, Jacqueline Jill
Krumrey, Jacqueline Jill is an individual health care provider with primary practice located at 3620 Nw Samaritan Dr Suite 202, Corvallis OR 97330-4714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Krumrey, Jacqueline Jill can be contacted via phone (541) 768-4810.Contact Information
Primary practice address
3620 Nw Samaritan Dr Suite 202
Corvallis OR 97330-4714
Phone: (541) 768-4810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 11371 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD27030 | Oregon |
Profile Details
| NPI number | 1366411241 |
|---|---|
| LBN Legal business name | Krumrey, Jacqueline Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Nov 5th, 2020 - 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 | 1366411241 | NPPES |
| Other | P00376258 | RAILROAD MEDICARE | |
| MEDICAID | 100506769 | RAILROAD MEDICARE | |
| MEDICAID | 969488 | RAILROAD MEDICARE | |
| MEDICAID | XPY205013 | RAILROAD MEDICARE |
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