1902351307 NPI number — DR KAREN E. KRUGER, PH D, LLC

Table of content: (NPI 1902351307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902351307 NPI number — DR KAREN E. KRUGER, PH D, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR KAREN E. KRUGER, PH D, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1902351307
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9180 GALLERIA CT
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
NAPLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34109-4384
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2905 INLET COVE LN W
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34120-7539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-571-2578
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DELOMBA
Authorized Official First Name:
JAMIEANN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
BILLING SPECIALEST/OFFICE MANAGER
Authorized Official Telephone Number:
239-571-2578

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X , with the licence number:  PY8414 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P01264499 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 593N0 . This is a "BCBS OF FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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