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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346548385 NPPES
Arizona Other BH3784 AZ DEPT OF HEALTH SERVICES

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