Bethke, Kristen A
Bethke, Kristen A is an individual health care provider with primary practice located at 1635 W 1St St Suite 107, Granite City IL 62040-1883. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bethke, Kristen A can be contacted via phone (618) 304-7277.Contact Information
Primary practice address
1635 W 1St St Suite 107
Granite City IL 62040-1883
Phone: (618) 304-7277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1457413270 |
|---|---|
| LBN Legal business name | Bethke, Kristen A |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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