Puerto, Denise
Puerto, Denise is an individual health care provider with primary practice located at 730 Holly Ln , Salina KS 67401-8452. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Puerto, Denise can be contacted via phone (785) 452-4948.Contact Information
Primary practice address
730 Holly Ln
Salina KS 67401-8452
Phone: (785) 452-4948
Fax: (785) 452-6119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 03007 | Kansas |
Profile Details
| NPI number | 1053920355 |
|---|---|
| LBN Legal business name | Puerto, Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Oct 27th, 2023 - about 2 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 | 1053920355 | NPPES |
| Kansas | MEDICAID | 201308400A |
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