Dimango, Katrina Elizabeth

Dimango, Katrina Elizabeth is an individual health care provider with primary practice located at 41100 Fox Run , Novi MI 48377-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dimango, Katrina Elizabeth can be contacted via phone (248) 668-8650.

Contact Information

Primary practice address
41100 Fox Run Novi MI 48377-4804
Phone: (248) 668-8650
Fax: (248) 668-8651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801091227 Michigan

Profile Details

NPI number 1942497011
LBN Legal business name Dimango, Katrina Elizabeth
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Feb 23rd, 2023 - about 2 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 1942497011 NPPES
Michigan MEDICAID 1883825

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