Kraus, Ian Mitchell

Kraus, Ian Mitchell is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Kraus, Ian Mitchell can be contacted via phone (414) 805-8700.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226
Phone: (414) 805-8700
Fax: (414) 259-1522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 141 Wisconsin

Profile Details

NPI number 1386292027
LBN Legal business name Kraus, Ian Mitchell
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Oct 2nd, 2019 - about 6 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 1386292027 NPPES
Wisconsin MEDICAID 1386292027

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