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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124307715 NPPES
Kansas Other 0193 KANSAS LICENSE

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