Casebolt, Kylie
Casebolt, Kylie is an individual health care provider with primary practice located at 505 Se Adams Ave , Chehalis WA 98532-3031. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Casebolt, Kylie can be contacted via phone (360) 280-8116.Contact Information
Primary practice address
505 Se Adams Ave
Chehalis WA 98532-3031
Phone: (360) 280-8116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | CO61277888 | Washington |
Profile Details
| NPI number | 1346967445 |
|---|---|
| LBN Legal business name | Casebolt, Kylie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2022 |
| Last updated | Oct 20th, 2022 - about 3 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 | 1346967445 | NPPES |
| Washington | Other | 000000000 | ABHS |
| Washington | Other | CO61277888 | ABHS |
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