Krueger, Cheryl

Krueger, Cheryl is an individual health care provider with primary practice located at 4111 Franklin St , Michigan City IN 46360-7803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Krueger, Cheryl can be contacted via phone (219) 879-5400.

Contact Information

Primary practice address
4111 Franklin St Michigan City IN 46360-7803
Phone: (219) 879-5400
Fax: (219) 879-5900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7100349A Indiana

Profile Details

NPI number 1952396772
LBN Legal business name Krueger, Cheryl
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 17th, 2013 - about 13 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 1952396772 NPPES
Indiana MEDICAID 100474810

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