Agler, Krista Clarice
Agler, Krista Clarice is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agler, Krista Clarice can be contacted via phone (260) 481-2700.Contact Information
Primary practice address
909 E State Blvd
Fort Wayne IN 46805-3404
Phone: (260) 481-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1326460882 |
|---|---|
| LBN Legal business name | Agler, Krista Clarice |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2014 |
| Last updated | Jun 27th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326460882 | NPPES |
| Indiana | MEDICAID | 200912670A |
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