Krell, Matthew D

Krell, Matthew D is an individual health care provider with primary practice located at 101 S Plum St , Vermillion SD 57069-3306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Krell, Matthew D can be contacted via phone (605) 624-8643.

Contact Information

Primary practice address
101 S Plum St Vermillion SD 57069-3306
Phone: (605) 624-8643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4734 South Dakota

Profile Details

NPI number 1477554343
LBN Legal business name Krell, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1477554343 NPPES
South Dakota MEDICAID 6700044

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