Krueger, Stephanie Marie

Krueger, Stephanie Marie is an individual health care provider with primary practice located at 3180 Omro Rd , Oshkosh WI 54904-9311. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Krueger, Stephanie Marie can be contacted via phone (920) 236-6000.

Contact Information

Primary practice address
3180 Omro Rd Oshkosh WI 54904-9311
Fax: (920) 236-6006
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4212-012 Wisconsin

Profile Details

NPI number 1205887700
LBN Legal business name Krueger, Stephanie Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 5th, 2015 - about 11 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 1205887700 NPPES
Wisconsin MEDICAID 38978400

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