Kragt, Michael Todd

Kragt, Michael Todd is an individual health care provider with primary practice located at 1515 Fortino Blvd Suite 120, Pueblo CO 81008-1664. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kragt, Michael Todd can be contacted via phone (719) 544-4111.

Contact Information

Primary practice address
1515 Fortino Blvd Suite 120 Pueblo CO 81008-1664
Phone: (719) 544-4111
Fax: (719) 544-3497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5177 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2188 Colorado

Profile Details

NPI number 1225393267
LBN Legal business name Kragt, Michael Todd
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Jul 5th, 2012 - about 14 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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