Krug, Ernest

Krug, Ernest is an individual health care provider with primary practice located at 1695 W 12 Mile Rd Ste. 120, Berkley MI 48072-2182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Krug, Ernest can be contacted via phone (248) 691-4744.

Contact Information

Primary practice address
1695 W 12 Mile Rd Ste. 120 Berkley MI 48072-2182
Phone: (248) 691-4744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 4301060939 Michigan

Profile Details

NPI number 1366402075
LBN Legal business name Krug, Ernest
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1366402075 NPPES
Michigan MEDICAID 2929992
Michigan Other 3506314650

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