Kruse, Jill D

Kruse, Jill D is an individual health care provider with primary practice located at 400 22Nd Ave , Brooking SD 57006-2450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kruse, Jill D can be contacted via phone (605) 697-9500.

Contact Information

Primary practice address
400 22Nd Ave Brooking SD 57006-2450
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49795-021 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7282 South Dakota

Profile Details

NPI number 1114967403
LBN Legal business name Kruse, Jill D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 1st, 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 1114967403 NPPES
South Dakota MEDICAID 5613110

Popular Providers