Kruse, Mark A

Kruse, Mark A is an individual health care provider with primary practice located at 4716 Morningside Ave , Sioux City IA 51106-3020. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Sports Physician is his primary health care specialty. Kruse, Mark A can be contacted via phone (712) 276-0712.

Contact Information

Primary practice address
4716 Morningside Ave Sioux City IA 51106-3020
Phone: (712) 276-0712
Fax: (712) 276-0718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 04452 Iowa
Chiropractic Providers / Orthopedic 111NX0800X 04452 Iowa

Profile Details

NPI number 1821077694
LBN Legal business name Kruse, Mark A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821077694 NPPES
Iowa Other 1070789 TITLE 19
Iowa Other 6070 TITLE 19
Iowa MEDICAID 1070789 TITLE 19
Iowa Other 49930 TITLE 19
Iowa Other NE26410 TITLE 19
Iowa Other 49930 TITLE 19

Popular Providers