Deppen, Krisanna L

Deppen, Krisanna L is an individual health care provider with primary practice located at 2030 Stringtown Rd , Grove City OH 43123-3993. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Deppen, Krisanna L can be contacted via phone (614) 566-0987.

Contact Information

Primary practice address
2030 Stringtown Rd Grove City OH 43123-3993
Phone: (614) 566-0987
Fax: (614) 566-0978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 35088823 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35088823 Ohio

Profile Details

NPI number 1003007741
LBN Legal business name Deppen, Krisanna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Dec 22nd, 2021 - about 5 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 1003007741 NPPES
Ohio MEDICAID 2912352

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