Kriska, Jan
Kriska, Jan is an individual health care provider with primary practice located at 708 S South St Ste 400 , Mount Airy NC 27030-4589. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Kriska, Jan can be contacted via phone (336) 415-5126.Contact Information
Primary practice address
708 S South St Ste 400
Mount Airy NC 27030-4589
Phone: (336) 415-5126
Fax: (336) 415-5169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9701018 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 9701018 | North Carolina |
Profile Details
| NPI number | 1104823327 |
|---|---|
| LBN Legal business name | Kriska, Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jan 24th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104823327 | NPPES |
| North Carolina | Other | 001011966003 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 1055X | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 110153703 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 111395 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 75844 | ONE HEALTH/GREAT WEST |
| North Carolina | MEDICAID | 890155X | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 142031 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 1789230 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 253533 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 277869 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 20412 | ONE HEALTH/GREAT WEST |
| North Carolina | Other | 5892546 | ONE HEALTH/GREAT WEST |
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