Krustchinsky, Brian Marcus
Krustchinsky, Brian Marcus is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-1885. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Krustchinsky, Brian Marcus can be contacted via phone (254) 724-2111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04982 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1952392953 |
|---|---|
| LBN Legal business name | Krustchinsky, Brian Marcus |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 18th, 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 | 1952392953 | NPPES |
| Texas | MEDICAID | 288858801 | |
| Texas | MEDICAID | 288858802 | |
| Texas | MEDICAID | 288858803 |
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