Kruse, Brandon Chase
Kruse, Brandon Chase is an sole proprietor health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 4000 , O Fallon IL 62269-1284. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kruse, Brandon Chase can be contacted via phone (618) 233-5480.Contact Information
Primary practice address
3 Saint Elizabeth Blvd Ste 4000
O Fallon IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 1386148872 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2020008920 | Missouri |
Profile Details
| NPI number | 1386148872 |
|---|---|
| LBN Legal business name | Kruse, Brandon Chase |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Feb 7th, 2024 - about last year |
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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