York, Kristi

York, Kristi is an individual health care provider with primary practice located at 516 Beltrami Ave Nw , Bemidji MN 56601-3010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. York, Kristi can be contacted via phone (218) 444-2845.

Contact Information

Primary practice address
516 Beltrami Ave Nw Bemidji MN 56601-3010
Phone: (218) 444-2845
Fax: (218) 444-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Minnesota

Profile Details

NPI number 1316134059
LBN Legal business name York, Kristi
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Jun 21st, 2012 - 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 1316134059 NPPES
Minnesota MEDICAID 620757000
Minnesota Other 978T4YO

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