Kruckeberg, Shannon Marie
Kruckeberg, Shannon Marie is an sole proprietor health care provider with primary practice located at 63407 130Th Ave , Claremont MN 55924-4656. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kruckeberg, Shannon Marie can be contacted via phone (507) 319-6845.Contact Information
Primary practice address
63407 130Th Ave
Claremont MN 55924-4656
Phone: (507) 319-6845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H6343 | Minnesota |
Profile Details
| NPI number | 1003002882 |
|---|---|
| LBN Legal business name | Kruckeberg, Shannon Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2007 |
| Last updated | Nov 16th, 2009 - about 15 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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