Kruse, Ida
Kruse, Ida is an individual health care provider with primary practice located at 1 High St , Wakefield RI 02879-3103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kruse, Ida can be contacted via phone (401) 789-1422.Contact Information
Primary practice address
1 High St
Wakefield RI 02879-3103
Phone: (401) 789-1422
Fax: (401) 782-6810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00985 | Rhode Island |
Profile Details
| NPI number | 1710409214 |
|---|---|
| LBN Legal business name | Kruse, Ida |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2017 |
| Last updated | Jul 17th, 2017 - about 9 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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