Walter John Krug in Wilmington - Intellectual And Developmental Disabilities

Walter John Krug - NPI 1225153158

Walter John Krug is a Intellectual And Developmental Disabilities in Wilmington, North Carolina. Walter John Krug practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Walter John Krug is 1225153158. The last update date is 2007-07-08.

Walter John Krug's current location address is 4145 Spirea Dr Apt C, Wilmington, North Carolina. You can contact this provider via phone number 9103926148. The mailing address for Walter John Krug is 4145 Spirea Dr Apt C, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter John Krug
Address 4145 Spirea Dr Apt C, Wilmington, North Carolina
Phone Number 9103926148
Fax Number
Sole Proprietor Y
Credentials M.A.

NPI Number Detail

NPI Number 1225153158
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4145 Spirea Dr Apt C
City Wilmington
State North Carolina (NC)
Post Code 28403
Phone Number 9103926148
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No 590
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

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FAQs about Walter John Krug

What is the unique provider identifier assigned to Walter John Krug?

The Walter John Krug has been issued the NPI (National Provider Identifier) 1225153158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Walter John Krug is physically located?

The Walter John Krug is physically situated at the following address: 4145 Spirea Dr Apt C, Wilmington, NC, 28403.

What is Walter John Krug's area of expertise and its corresponding taxonomy classification?

The Walter John Krug's field of specialization is Intellectual And Developmental Disabilities, and it falls under the taxonomy code 103Tm1800X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1225153158 to Walter John Krug?

The Walter John Krug received its 1225153158 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.

As of what date were the details related to Walter John Krug most recently updated or revised?

The information pertaining to Walter John Krug, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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