Kruschke, Everett David
Kruschke, Everett David is an individual health care provider with primary practice located at 9201 Old Cedar Ave S , Bloomington MN 55425-2401. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kruschke, Everett David can be contacted via phone (952) 854-1800.Contact Information
Primary practice address
9201 Old Cedar Ave S
Bloomington MN 55425-2401
Phone: (952) 854-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1255902698 |
|---|---|
| LBN Legal business name | Kruschke, Everett David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2021 |
| Last updated | Jul 7th, 2021 - about 4 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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