Krogh, John

Krogh, John is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Krogh, John can be contacted via phone (386) 425-2285.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 425-2285
Fax: (386) 425-7522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05125 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108749 Florida

Profile Details

NPI number 1831506518
LBN Legal business name Krogh, John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated Oct 7th, 2015 - about 11 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 1831506518 NPPES
North Carolina Other 0010-05125 NORTH CAROLINA MEDICAL BOARD

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