Bonaventura-Krischke, Suzanne Jean

Bonaventura-Krischke, Suzanne Jean is an sole proprietor health care provider with primary practice located at 250 N Main St , Crown Point IN 46307-3252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bonaventura-Krischke, Suzanne Jean can be contacted via phone (219) 663-6353.

Contact Information

Primary practice address
250 N Main St Crown Point IN 46307-3252
Phone: (219) 663-6353
Fax: (219) 663-6155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 99025239A Indiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 33004882A Indiana

Profile Details

NPI number 1003817032
LBN Legal business name Bonaventura-Krischke, Suzanne Jean
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Apr 1st, 2016 - about 10 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 1003817032 NPPES
Indiana MEDICAID 200514270

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