Krusich, Sandra L
Krusich, Sandra L is an individual health care provider with primary practice located at 1 Mt Carmel Way , Pittsburg KS 66762-7587. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Krusich, Sandra L can be contacted via phone (620) 235-7940.Contact Information
Primary practice address
1 Mt Carmel Way
Pittsburg KS 66762-7587
Phone: (620) 235-7940
Fax: (620) 235-7908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 193 | Kansas |
Profile Details
| NPI number | 1124307715 |
|---|---|
| LBN Legal business name | Krusich, Sandra L |
| Credentials | LSCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Aug 12th, 2011 - about 14 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 | 1124307715 | NPPES |
| Kansas | Other | 0193 | KANSAS LICENSE |
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