Allen, Kristin C
Allen, Kristin C is an sole proprietor health care provider with primary practice located at 134 East Shoreline Drive , Sandusky OH 44870. She recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Allen, Kristin C can be contacted via phone (419) 557-2019.Contact Information
Primary practice address
134 East Shoreline Drive
Sandusky OH 44870
Phone: (419) 557-2019
Fax: (419) 433-5509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 22 030 630 | Ohio |
Suppliers / Customized Equipment | 332BC3200X | 22 030 630 | Ohio |
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | PT -5557 | Ohio |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-5557 | Ohio |
Profile Details
NPI number | 1962462770 |
---|---|
LBN Legal business name | Allen, Kristin C |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 24th, 2006 |
Last updated | Feb 28th, 2019 - 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 | 1962462770 | NPPES |
Ohio | Other | 11550039 | CAQH # |
Ohio | MEDICAID | 268 4877 | CAQH # |
Ohio | MEDICAID | 269 4679 | CAQH # |
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