Engstrom, Katrina Anne
Engstrom, Katrina Anne is an individual health care provider with primary practice located at 1909 Cuba Ave Ste 5 , Alamogordo NM 88310-5646. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Engstrom, Katrina Anne can be contacted via phone (575) 489-4916.Contact Information
Primary practice address
1909 Cuba Ave Ste 5
Alamogordo NM 88310-5646
Phone: (575) 489-4916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-10569 | New Mexico |
Profile Details
| NPI number | 1649652215 |
|---|---|
| LBN Legal business name | Engstrom, Katrina Anne |
| Credentials | LSCW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2015 |
| Last updated | Jul 19th, 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 | 1649652215 | NPPES |
| New Mexico | MEDICAID | 10154337 | |
| New Mexico | MEDICAID | 99502542 |
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