Larsen, Kimberly
Larsen, Kimberly is an sole proprietor health care provider with primary practice located at 612 W Morgan Ave , Chesterton IN 46304-2244. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Larsen, Kimberly can be contacted via phone (219) 307-0086.Contact Information
Primary practice address
612 W Morgan Ave
Chesterton IN 46304-2244
Phone: (219) 307-0086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 86000384A | Indiana |
Profile Details
| NPI number | 1588257976 |
|---|---|
| LBN Legal business name | Larsen, Kimberly |
| Credentials | LAC CADAC V |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2021 |
| Last updated | Feb 16th, 2021 - 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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