Kraske, Shane Arthur

Kraske, Shane Arthur is an individual health care provider with primary practice located at 2769 Heartland Drive Suite 105, Coralville IA 52241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kraske, Shane Arthur can be contacted via phone (319) 545-7310.

Contact Information

Primary practice address
2769 Heartland Drive Suite 105 Coralville IA 52241
Phone: (319) 545-7310
Fax: (319) 545-7314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 33735 Iowa

Profile Details

NPI number 1568419604
LBN Legal business name Kraske, Shane Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 27th, 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 1568419604 NPPES
Iowa Other 44527 BLUE CROSS BLUE SHIELD
Iowa Other 19402 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 0253070 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 2253070 BLUE CROSS BLUE SHIELD
Iowa Other 30171 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1253070 BLUE CROSS BLUE SHIELD
Iowa Other 44526 BLUE CROSS BLUE SHIELD

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