Bertz, Krista Mccune
Bertz, Krista Mccune is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bertz, Krista Mccune can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
10240 Park Meadows Dr
Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-2359 | Colorado |
Profile Details
NPI number | 1922162700 |
---|---|
LBN Legal business name | Bertz, Krista Mccune |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2006 |
Last updated | Jun 18th, 2021 - about 3 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 | 1922162700 | NPPES |
Colorado | Other | 22269 | KAISER COMMERCIAL NUMBER |
Colorado | MEDICAID | 13150821 | KAISER COMMERCIAL NUMBER |
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