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Individual

CARLA M KREBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
(440) 333-7346
(440) 333-0273
Mailing address
21375 LORAIN RD, FAIRVIEW PARK, OH 44126-2122
(440) 333-7346
(440) 333-0273

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
066584
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028180
ANTHEM
OH
01
0004501425
AETNA
OH
01
08-01177
UNITED HEALTHCARE
OH
05
0826931
OH
01
1164492591
PRACTICE LOCATION LAKEWOOD NPI
OH
01
1275512709
MEDICARE PRACTICE NPI
OH
01
1487659066
NPI NUMBER
OH
01
180020032
RAILROAD MEDICARE
OH
01
341311807
TAX ID
OH
01
F66584
APEX
OH
Enumeration date
06/20/2005
Last updated
11/01/2010
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