Smith, Kaitlin M

Smith, Kaitlin M is an sole proprietor health care provider with primary practice located at 1045 Klotz Rd , Bowling Green OH 43402-4820. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Kaitlin M can be contacted via phone (419) 352-7588.

Contact Information

Primary practice address
1045 Klotz Rd Bowling Green OH 43402-4820
Phone: (419) 352-7588
Fax: (419) 354-4977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C0900482 Ohio

Profile Details

NPI number 1659664910
LBN Legal business name Smith, Kaitlin M
Credentials PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2011
Last updated May 19th, 2011 - about 13 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 1659664910 NPPES
Ohio Other C0900482 STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD

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