Kruse, Mandy
Kruse, Mandy is an sole proprietor health care provider with primary practice located at 3500 Dodge St Ste 105 , Dubuque IA 52003-5208. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kruse, Mandy can be contacted via phone (563) 583-2007.Contact Information
Primary practice address
3500 Dodge St Ste 105
Dubuque IA 52003-5208
Phone: (563) 583-2007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 088757 | Iowa |
Profile Details
| NPI number | 1346877560 |
|---|---|
| LBN Legal business name | Kruse, Mandy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Jul 19th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346877560 | NPPES |
| Iowa | Other | 088575 | HIS |
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