Kostrubanic, Megan

Kostrubanic, Megan is an individual health care provider with primary practice located at 2420 N Coliseum Blvd Ste 206 , Fort Wayne IN 46805-3139. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Kostrubanic, Megan can be contacted via phone (260) 223-4613.

Contact Information

Primary practice address
2420 N Coliseum Blvd Ste 206 Fort Wayne IN 46805-3139
Phone: (260) 223-4613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0474 Indiana

Profile Details

NPI number 1144600982
LBN Legal business name Kostrubanic, Megan
Credentials MS, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2015
Last updated Jul 21st, 2022 - about 4 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 1144600982 NPPES
Indiana MEDICAID 201315280A

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