Kruse, David Allan

Kruse, David Allan is an sole proprietor health care provider with primary practice located at 205 Sheyenne St Suite 3, West Fargo ND 58078-1752. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kruse, David Allan can be contacted via phone (701) 281-8137.

Contact Information

Primary practice address
205 Sheyenne St Suite 3 West Fargo ND 58078-1752
Fax: (701) 281-8137
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H-0031 North Dakota

Profile Details

NPI number 1427265990
LBN Legal business name Kruse, David Allan
Credentials ND LHIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1427265990 NPPES
Minnesota Other 37G80SH MN BLUE CROSSBLUE SHIELD

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