Kroh, Lucia M.

Kroh, Lucia M. is an individual health care provider with primary practice located at 7916 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kroh, Lucia M. can be contacted via phone (260) 432-2297.

Contact Information

Primary practice address
7916 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 432-2297
Fax: (260) 479-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000590A Indiana

Profile Details

NPI number 1336108257
LBN Legal business name Kroh, Lucia M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 29th, 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 1336108257 NPPES
Indiana Other P00783814 RAILROAD MEDICARE
Indiana Other 000000289911 RAILROAD MEDICARE
Indiana MEDICAID 200041790 RAILROAD MEDICARE
Indiana MEDICAID 2454295 RAILROAD MEDICARE

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