Kruse, Derek Adam

Kruse, Derek Adam is an individual health care provider with primary practice located at Emile 42Nd St , Omaha NE 68198-0001. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kruse, Derek Adam can be contacted via phone (402) 559-4015.

Contact Information

Primary practice address
Emile 42Nd St Omaha NE 68198-0001
Phone: (402) 559-4015
Fax: (402) 559-8715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57678 Wisconsin
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 29960 Nebraska

Profile Details

NPI number 1487946778
LBN Legal business name Kruse, Derek Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated May 8th, 2017 - about 8 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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