Krajacich, Thomas J

Krajacich, Thomas J is an individual health care provider with primary practice located at 1400 29Th St S , Great Falls MT 59405-5353. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Krajacich, Thomas J can be contacted via phone (406) 454-2171.

Contact Information

Primary practice address
1400 29Th St S Great Falls MT 59405-5353
Phone: (406) 454-2171
Fax: (406) 771-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 139 Montana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 139 Montana

Profile Details

NPI number 1518968486
LBN Legal business name Krajacich, Thomas J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1518968486 NPPES
Montana MEDICAID 0490076

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