Krug, Joseph Jeffrey

Krug, Joseph Jeffrey is an individual health care provider with primary practice located at 600 S 13Th St , Pekin IL 61554-4936. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Krug, Joseph Jeffrey can be contacted via phone (309) 347-1151.

Contact Information

Primary practice address
600 S 13Th St Pekin IL 61554-4936
Phone: (309) 347-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036060195 Illinois

Profile Details

NPI number 1669588869
LBN Legal business name Krug, Joseph Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 4th, 2009 - about 17 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 1669588869 NPPES
Illinois MEDICAID 036060195

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