NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SHANNON M KRUCKEBERG, RDH
63407 130TH AVE
CLAREMONT, MN55924-4656
 Phone: 507-319-6845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for SHANNON M KRUCKEBERG · (Female)

NPI # 1003002882
Status Active
Credentials RDH (Registered Dental Hygienist)
Entity Individual
Enumeration date 09/14/2007
Last updated 11/16/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # H6343
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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