Krysl, Charles J

Krysl, Charles J is an individual health care provider with primary practice located at 1401 E H St , Mc Cook NE 69001-3432. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Krysl, Charles J can be contacted via phone (308) 344-4110.

Contact Information

Primary practice address
1401 E H St Mc Cook NE 69001-3432
Fax: (308) 344-8369
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 840 Nebraska

Profile Details

NPI number 1538132899
LBN Legal business name Krysl, Charles J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 17th, 2009 - about 16 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 1538132899 NPPES
Nebraska MEDICAID 470748011-12

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