Burnstad, Kristine Kaye

Burnstad, Kristine Kaye is an individual health care provider with primary practice located at 1002 Lincoln Ave , Baraboo WI 53913-1808. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Burnstad, Kristine Kaye can be contacted via phone (608) 356-9884.

Contact Information

Primary practice address
1002 Lincoln Ave Baraboo WI 53913-1808
Fax: (608) 356-0985
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6780123 Wisconsin

Profile Details

NPI number 1467410001
LBN Legal business name Burnstad, Kristine Kaye
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1467410001 NPPES
Wisconsin MEDICAID 43577200

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