Cruz, Krisilee Kay

Cruz, Krisilee Kay is an sole proprietor health care provider with primary practice located at 2275 W Broadway St Ste G , Idaho Falls ID 83402-2902. 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. Cruz, Krisilee Kay can be contacted via phone (208) 524-7400.

Contact Information

Primary practice address
2275 W Broadway St Ste G Idaho Falls ID 83402-2902
Phone: (208) 524-7400
Fax: (208) 524-8004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10228 Idaho

Profile Details

NPI number 1790166122
LBN Legal business name Cruz, Krisilee Kay
Credentials ISAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790166122 NPPES
Idaho MEDICAID 0001256907

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