Braig, Kristen Theobald
Braig, Kristen Theobald is an individual health care provider with primary practice located at 2211 Timber Trl Maple Leaf Family And Sports Medicine, Bellefontaine OH 43311-9036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Braig, Kristen Theobald can be contacted via phone (937) 592-3808.Contact Information
Primary practice address
2211 Timber Trl Maple Leaf Family And Sports Medicine
Bellefontaine OH 43311-9036
Phone: (937) 592-3808
Fax: (937) 593-8404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-08-1723 | Ohio |
Profile Details
| NPI number | 1265422950 |
|---|---|
| LBN Legal business name | Braig, Kristen Theobald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Apr 27th, 2011 - about 14 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 | 1265422950 | NPPES |
| Ohio | MEDICAID | 2443056 |
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