1720341811 NPI number — DR. MICHAEL PAUL KRUSINSKY LCSW, BCD

Table of content: DR. MICHAEL PAUL KRUSINSKY LCSW, BCD (NPI 1720341811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720341811 NPI number — DR. MICHAEL PAUL KRUSINSKY LCSW, BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRUSINSKY
Provider First Name:
MICHAEL
Provider Middle Name:
PAUL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, BCD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720341811
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7221
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55903-7221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-517-5864
Provider Business Mailing Address Fax Number:
312-586-8148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 7221
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55903-7221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-517-5864
Provider Business Practice Location Address Fax Number:
312-586-8148
Provider Enumeration Date:
06/22/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  149016982 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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