Krupp, Gary J

Krupp, Gary J is an individual health care provider with primary practice located at 2828 Chicago Ave South Suite 200, Minneapolis MN 55407-1320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Krupp, Gary J can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
2828 Chicago Ave South Suite 200 Minneapolis MN 55407-1320
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP0167 Minnesota

Profile Details

NPI number 1386648327
LBN Legal business name Krupp, Gary J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Aug 11th, 2014 - about 10 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 1386648327 NPPES
Minnesota MEDICAID 6800000064

Popular Providers