Kruse, Roger John
Kruse, Roger John is an individual health care provider with primary practice located at 2865 N Reynolds Rd Ste 130, Toledo OH 43615-2068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kruse, Roger John can be contacted via phone (419) 578-7036.Contact Information
Primary practice address
2865 N Reynolds Rd Ste 130
Toledo OH 43615-2068
Phone: (419) 578-7036
Fax: (419) 537-5597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 35043625 | Ohio |
Profile Details
| NPI number | 1487650339 |
|---|---|
| LBN Legal business name | Kruse, Roger John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Nov 3rd, 2023 - about last year |
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 | 1487650339 | NPPES |
| Ohio | MEDICAID | 2048386 | |
| Ohio | Other | KR0473103 | |
| Ohio | Other | 080190310 |
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