Anna K Kragt
Family Doctor
206 W. Warren St
Middlebury
, Indiana 46540-0459
Anna K Kragt
Family Doctor
206 W. Warren St
Middlebury
, Indiana 46540-0459
(574) 237-6069
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Anna K Kragt
- 710 N Niles Ave
- South Bend, IN
- Zip : 46617-1924
- Fax : (574) 237-6069
- Phone : (574) 647-1610
Second Address
- Anna K Kragt
- 206 W. Warren St
- Middlebury, IN
- Zip : 46540-0459
- Fax : (574) 524-7435
- Phone : (574) 825-2146
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01045002A | IN |
National Provider Identifier
| NPI | 1003838293 |
|---|---|
| Provider Name | Anna K Kragt |
| First Address | South Bend, IN 46617-1924 |
| Second Address | Middlebury, IN 46540-0459 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 01/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200101330 | (05) | IN |
| 236040026 | MEDICARE PTAN (01) | IN |
| E87013 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.