Anderson, Krystle Fawn
Anderson, Krystle Fawn is an sole proprietor health care provider with primary practice located at 17040 W Greenfield Ave Ste 6 , Brookfield WI 53005-6844. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Anderson, Krystle Fawn can be contacted via phone (262) 439-8019.Contact Information
Primary practice address
17040 W Greenfield Ave Ste 6
Brookfield WI 53005-6844
Phone: (262) 439-8019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Wisconsin |
Profile Details
| NPI number | 1225713472 |
|---|---|
| LBN Legal business name | Anderson, Krystle Fawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2023 |
| Last updated | Jun 15th, 2023 - about 2 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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