Boog, Kristen Elizabeth

Boog, Kristen Elizabeth is an individual health care provider with primary practice located at 2222 Cherry St Ste 2300 , Toledo OH 43608-2675. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Boog, Kristen Elizabeth can be contacted via phone (567) 368-1311.

Contact Information

Primary practice address
2222 Cherry St Ste 2300 Toledo OH 43608-2675
Phone: (567) 368-1311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P.08499 Ohio

Profile Details

NPI number 1235883000
LBN Legal business name Boog, Kristen Elizabeth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2022
Last updated Sep 11th, 2026 - about 2 months 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 1235883000 NPPES
Ohio MEDICAID 0026196

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