Cecil, Kedric
Cecil, Kedric is an sole proprietor health care provider with primary practice located at 305 3Rd Ave , Havre MT 59501-3576. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cecil, Kedric can be contacted via phone (406) 265-5827.Contact Information
Primary practice address
305 3Rd Ave
Havre MT 59501-3576
Phone: (406) 265-5827
Fax: (406) 265-5949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 87LCPC | Montana |
Profile Details
| NPI number | 1790778926 |
|---|---|
| LBN Legal business name | Cecil, Kedric |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 13th, 2007 - about 18 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 | 1790778926 | NPPES |
| Montana | MEDICAID | 0250926 |
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