Pederson, Krista
Pederson, Krista is an individual health care provider with primary practice located at 1211 Vine St , West Des Moines IA 50265-4472. 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. Pederson, Krista can be contacted via phone (515) 414-8059.Contact Information
Primary practice address
1211 Vine St
West Des Moines IA 50265-4472
Phone: (515) 414-8059
Fax: (515) 209-7081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16028 | Iowa |
Profile Details
| NPI number | 1174033518 |
|---|---|
| LBN Legal business name | Pederson, Krista |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2017 |
| Last updated | Oct 11th, 2017 - about 7 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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