Aquisap, Kristine L
Aquisap, Kristine L is an individual health care provider with primary practice located at 972 Brook Forest Ave , Shorewood IL 60431-8807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Aquisap, Kristine L can be contacted via phone (815) 439-4938.Contact Information
Primary practice address
972 Brook Forest Ave
Shorewood IL 60431-8807
Phone: (815) 439-4938
Fax: (815) 439-7816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-014719 | Illinois |
Profile Details
| NPI number | 1720170384 |
|---|---|
| LBN Legal business name | Aquisap, Kristine L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Nov 2nd, 2011 - about 13 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 | 1720170384 | NPPES |
| Illinois | Other | P00931563 | MEDICARE RAILROAD |
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