Kreso, Ibrahim
Kreso, Ibrahim is an sole proprietor health care provider with primary practice located at 121 E Four Horses Pl , Tucson AZ 85704-7210. He recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Respite Care Facility / Respite Care. Respite Care Facility / Respite Care is his primary health care specialty. Kreso, Ibrahim can be contacted via phone (520) 742-5913.Contact Information
Primary practice address
121 E Four Horses Pl
Tucson AZ 85704-7210
Phone: (520) 742-5913
Fax: (520) 742-5913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-3784 | Arizona |
| Respite Care Facility / Respite Care | 385H00000X | BH3784 | Arizona |
Profile Details
| NPI number | 1346548385 |
|---|---|
| LBN Legal business name | Kreso, Ibrahim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2011 |
| Last updated | Oct 18th, 2019 - about 5 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 | 1346548385 | NPPES |
| Arizona | Other | BH3784 | AZ DEPT OF HEALTH SERVICES |
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