Ruthardt, Kasey Renee
Ruthardt, Kasey Renee is an sole proprietor health care provider with primary practice located at 2010 Offaly Dr Apt 5107 , Matthews NC 28105-5195. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ruthardt, Kasey Renee can be contacted via phone (480) 399-5898.Contact Information
Primary practice address
2010 Offaly Dr Apt 5107
Matthews NC 28105-5195
Phone: (480) 399-5898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | BACB732639 | North Carolina |
Profile Details
| NPI number | 1205594900 |
|---|---|
| LBN Legal business name | Ruthardt, Kasey Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2021 |
| Last updated | Nov 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205594900 | NPPES |
| Other | 01141999 | CIGNA HEALTH |
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