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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265422950 NPPES
Ohio MEDICAID 2443056

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