Kruse, Judi M
Kruse, Judi M is an individual health care provider with primary practice located at 1200 W 22Nd St , Higginsville MO 64037-1420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kruse, Judi M can be contacted via phone (660) 584-7751.Contact Information
Primary practice address
1200 W 22Nd St
Higginsville MO 64037-1420
Phone: (660) 584-7751
Fax: (660) 584-8261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN075514 | Missouri |
Profile Details
| NPI number | 1376625541 |
|---|---|
| LBN Legal business name | Kruse, Judi M |
| Credentials | APRN,BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jan 7th, 2010 - about 16 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 | 1376625541 | NPPES |
| Missouri | MEDICAID | 428502108 |
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