Ickes, Katie
Ickes, Katie is an individual health care provider with primary practice located at 255 Colrain St Sw Ste 2 , Wyoming MI 49548-1057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ickes, Katie can be contacted via phone (616) 988-1479.Contact Information
Primary practice address
255 Colrain St Sw Ste 2
Wyoming MI 49548-1057
Phone: (616) 988-1479
Fax: (616) 988-1473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1932590486 |
|---|---|
| LBN Legal business name | Ickes, Katie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2015 |
| Last updated | Feb 5th, 2015 - about 11 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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