Kroetsch, Laura Ann

Kroetsch, Laura Ann is an individual health care provider with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kroetsch, Laura Ann can be contacted via phone (701) 298-4500.

Contact Information

Primary practice address
2624 9Th Ave S Fargo ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10120 North Dakota

Profile Details

NPI number 1740382456
LBN Legal business name Kroetsch, Laura Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Sep 5th, 2008 - about 18 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 1740382456 NPPES
Minnesota MEDICAID 635192100
Minnesota MEDICAID 13648
Minnesota Other 274G0BE
Minnesota Other 26319

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