Childs, Stephanie Krejcarek
Childs, Stephanie Krejcarek is an individual health care provider with primary practice located at 560 S Maple St Ste 10 , Waconia MN 55387-1759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Childs, Stephanie Krejcarek can be contacted via phone (952) 442-6000.Contact Information
Primary practice address
560 S Maple St Ste 10
Waconia MN 55387-1759
Phone: (952) 442-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 55245 | Minnesota |
Profile Details
| NPI number | 1528267853 |
|---|---|
| LBN Legal business name | Childs, Stephanie Krejcarek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Nov 28th, 2023 - about 3 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 | 1528267853 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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