Krichak, Andrew M
Krichak, Andrew M is an sole proprietor health care provider with primary practice located at 77 King St , Johnston RI 02919-4019. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Krichak, Andrew M can be contacted via phone (401) 273-5309.Contact Information
Primary practice address
77 King St
Johnston RI 02919-4019
Phone: (401) 273-5309
Fax: (401) 273-5309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 122 | Rhode Island |
Profile Details
| NPI number | 1457570152 |
|---|---|
| LBN Legal business name | Krichak, Andrew M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457570152 | NPPES |
| Rhode Island | Other | 22153 | BLUE SHIELD |
| Rhode Island | Other | 00407031 | BLUE SHIELD |
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