Ingram, Kris B

Ingram, Kris B is an sole proprietor health care provider with primary practice located at 52 S Beaver St , Carroll OH 43112-9002. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Ingram, Kris B can be contacted via phone (740) 756-4058.

Contact Information

Primary practice address
52 S Beaver St Carroll OH 43112-9002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1942815394
LBN Legal business name Ingram, Kris B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2020
Last updated Sep 12th, 2020 - about 4 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 1942815394 NPPES
Ohio MEDICAID 0084066

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