Kragt, Michael Todd
Kragt, Michael Todd is an individual health care provider with primary practice located at 1515 Fortino Blvd Suite 120, Pueblo CO 81008-1664. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kragt, Michael Todd can be contacted via phone (719) 544-4111.Contact Information
Primary practice address
1515 Fortino Blvd Suite 120
Pueblo CO 81008-1664
Phone: (719) 544-4111
Fax: (719) 544-3497
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5177 | Colorado |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2188 | Colorado |
Profile Details
NPI number | 1225393267 |
---|---|
LBN Legal business name | Kragt, Michael Todd |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2012 |
Last updated | Jul 5th, 2012 - about 12 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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