Bergholtz, Kristin C
Bergholtz, Kristin C is an sole proprietor health care provider with primary practice located at 1151 Pittsford Victor Rd Ste 103 , Pittsford NY 14534-3829. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bergholtz, Kristin C can be contacted via phone (585) 260-7627.Contact Information
Primary practice address
1151 Pittsford Victor Rd Ste 103
Pittsford NY 14534-3829
Phone: (585) 260-7627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 015715-1 | New York |
Profile Details
| NPI number | 1124114590 |
|---|---|
| LBN Legal business name | Bergholtz, Kristin C |
| Credentials | M.S., LIC. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124114590 | NPPES |
| New York | Other | 30-0213081 | TAX ID |
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