Rasmussen, Krista A

Rasmussen, Krista A is an individual health care provider with primary practice located at 301 Troy Dr Cottage B, Madison WI 53704-1521. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rasmussen, Krista A can be contacted via phone (608) 663-5912.

Contact Information

Primary practice address
301 Troy Dr Cottage B Madison WI 53704-1521
Phone: (608) 663-5912
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 126536-121 Wisconsin
Behavioral Health & Social Service Providers / School 1041S0200X Wisconsin

Profile Details

NPI number 1073770731
LBN Legal business name Rasmussen, Krista A
Credentials APSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 17 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 1073770731 NPPES
Wisconsin MEDICAID 43712600

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