Kruse, Mark A
Kruse, Mark A is an individual health care provider with primary practice located at 4716 Morningside Ave , Sioux City IA 51106-3020. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Kruse, Mark A can be contacted via phone (712) 276-0712.Contact Information
Primary practice address
4716 Morningside Ave
Sioux City IA 51106-3020
Phone: (712) 276-0712
Fax: (712) 276-0718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 04452 | Iowa |
| Chiropractic Providers / Orthopedic | 111NX0800X | 04452 | Iowa |
Profile Details
| NPI number | 1821077694 |
|---|---|
| LBN Legal business name | Kruse, Mark A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 months 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 | 1821077694 | NPPES |
| Iowa | Other | 1070789 | TITLE 19 |
| Iowa | Other | 6070 | TITLE 19 |
| Iowa | MEDICAID | 1070789 | TITLE 19 |
| Iowa | Other | 49930 | TITLE 19 |
| Iowa | Other | NE26410 | TITLE 19 |
| Iowa | Other | 49930 | TITLE 19 |
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