Provider Demographics
NPI:1952484057
Name:KRUGGEL, ARTHUR FREDERICK (MS)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:FREDERICK
Last Name:KRUGGEL
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:FRITZ
Other - Middle Name:FREDERICK
Other - Last Name:KRUGGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:9900 GILMORE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-9731
Mailing Address - Country:US
Mailing Address - Phone:812-335-9900
Mailing Address - Fax:
Practice Address - Street 1:227 W GRIMES LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3015
Practice Address - Country:US
Practice Address - Phone:812-322-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200512030AMedicaid