Kruckenberg, Erin Paige

Kruckenberg, Erin Paige is an individual health care provider with primary practice located at 916 19Th St , Woodward OK 73801-2334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kruckenberg, Erin Paige can be contacted via phone (580) 238-5734.

Contact Information

Primary practice address
916 19Th St Woodward OK 73801-2334
Phone: (580) 238-5734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2828 Oklahoma

Profile Details

NPI number 1538675624
LBN Legal business name Kruckenberg, Erin Paige
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2017
Last updated Oct 6th, 2022 - about 4 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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