Krusniak, Jeffrey Michael
Krusniak, Jeffrey Michael is an individual health care provider with primary practice located at 3015 Squalicum Pkwy Ste 200, Bellingham WA 98225-1945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Krusniak, Jeffrey Michael can be contacted via phone (360) 733-2092.Contact Information
Primary practice address
3015 Squalicum Pkwy Ste 200
Bellingham WA 98225-1945
Phone: (360) 733-2092
Fax: (360) 788-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101013559 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OP60390976 | Washington |
Profile Details
| NPI number | 1407877830 |
|---|---|
| LBN Legal business name | Krusniak, Jeffrey Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 17th, 2014 - about 11 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 | 1407877830 | NPPES |
| Michigan | MEDICAID | 4742268 | |
| Michigan | Other | JK013559 | |
| Michigan | Other | 200H310170 |
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