Kraut, Jonathan David

Kraut, Jonathan David is an individual health care provider with primary practice located at 125 Queens Rd Ste 430 , Charlotte NC 28204-3579. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kraut, Jonathan David can be contacted via phone (980) 302-6700.

Contact Information

Primary practice address
125 Queens Rd Ste 430 Charlotte NC 28204-3579
Phone: (980) 302-6700
Fax: (980) 302-6705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 201702618 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2017-02618 North Carolina

Profile Details

NPI number 1710902937
LBN Legal business name Kraut, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jun 5th, 2024 - about 2 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 1710902937 NPPES
Kentucky MEDICAID 64130032
Kentucky Other 000000612758

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