Krosse, M. Elaine

Krosse, M. Elaine is an sole proprietor health care provider with primary practice located at 860 E Broad St , Elyria OH 44035-6542. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Krosse, M. Elaine can be contacted via phone (440) 322-4220.

Contact Information

Primary practice address
860 E Broad St Elyria OH 44035-6542
Phone: (440) 322-4220
Fax: (440) 322-4713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002297 Ohio

Profile Details

NPI number 1730271594
LBN Legal business name Krosse, M. Elaine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Jun 14th, 2010 - about 16 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 1730271594 NPPES
Ohio Other 42587891 MED. MUT. OF OHIO/SELECT
Ohio MEDICAID 0644379 MED. MUT. OF OHIO/SELECT
Ohio Other 8333415578 MED. MUT. OF OHIO/SELECT
Ohio Other 000000116728 MED. MUT. OF OHIO/SELECT
Ohio Other 480006005 MED. MUT. OF OHIO/SELECT

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