Kruse, Elizabeth A

Kruse, Elizabeth A is an individual health care provider with primary practice located at 9500 Mentor Ave Suite 100, Mentor OH 44060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kruse, Elizabeth A can be contacted via phone (440) 352-4880.

Contact Information

Primary practice address
9500 Mentor Ave Suite 100 Mentor OH 44060
Fax: (440) 352-3629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35058076 Ohio

Profile Details

NPI number 1962479857
LBN Legal business name Kruse, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 26th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962479857 NPPES
Ohio MEDICAID 0733353

Popular Providers