Krus, Samuel Nathan

Krus, Samuel Nathan is an individual health care provider with primary practice located at 780 Mcardle Dr Ste A , Crystal Lake IL 60014-8155. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Krus, Samuel Nathan can be contacted via phone (779) 220-6262.

Contact Information

Primary practice address
780 Mcardle Dr Ste A Crystal Lake IL 60014-8155
Phone: (779) 220-6262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-29915 Illinois

Profile Details

NPI number 1841787363
LBN Legal business name Krus, Samuel Nathan
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Dec 11th, 2019 - about 5 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 1841787363 NPPES
Illinois Other 11829915 ALL COMMERCIAL PAYORS

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