Krusell, Katelyn

Krusell, Katelyn is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Krusell, Katelyn can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1356092654
LBN Legal business name Krusell, Katelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2022
Last updated Jun 7th, 2022 - about 3 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 1356092654 NPPES
Utah Other 000055266 MEDICARE PIN
Utah Other 260022408 MEDICARE PIN
Utah MEDICAID 8760003008007 MEDICARE PIN

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