Kruse, Mark Bell

Kruse, Mark Bell is an individual health care provider with primary practice located at 4416 Trenton St , Metairie LA 70006-6527. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Kruse, Mark Bell can be contacted via phone (504) 885-8899.

Contact Information

Primary practice address
4416 Trenton St Metairie LA 70006-6527
Fax: (504) 885-0762
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 878 Louisiana

Profile Details

NPI number 1104855444
LBN Legal business name Kruse, Mark Bell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104855444 NPPES
Louisiana MEDICAID 1936219

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