Kruk, Julie Ann
Kruk, Julie Ann is an individual health care provider with primary practice located at 444 South Adams St. Suite 6, Green Bay WI 54301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kruk, Julie Ann can be contacted via phone (715) 526-5466.Contact Information
Primary practice address
444 South Adams St. Suite 6
Green Bay WI 54301
Phone: (715) 526-5466
Fax: (715) 526-5545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1450125 | Wisconsin |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1450-125 | Wisconsin |
Profile Details
| NPI number | 1730272642 |
|---|---|
| LBN Legal business name | Kruk, Julie Ann |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730272642 | NPPES |
| Other | 11565088 | CAQH | |
| MEDICAID | 41003100 | CAQH |
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