Krak, Michael D

Krak, Michael D is an individual health care provider with primary practice located at 2067 W Vista Way Ste 280 , Vista CA 92083-6034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krak, Michael D can be contacted via phone (760) 941-3630.

Contact Information

Primary practice address
2067 W Vista Way Ste 280 Vista CA 92083-6034
Fax: (760) 941-1214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G41229 California

Profile Details

NPI number 1003989419
LBN Legal business name Krak, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 4th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003989419 NPPES
California MEDICAID 00G412290

Popular Providers