Christie, Marc Kiphonge

Christie, Marc Kiphonge is an individual health care provider with primary practice located at 11750 Canal St Unit 215 , Miramar FL 33025-7947. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Christie, Marc Kiphonge can be contacted via phone (954) 682-7442.

Contact Information

Primary practice address
11750 Canal St Unit 215 Miramar FL 33025-7947
Phone: (954) 682-7442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT10020 Florida

Profile Details

NPI number 1992732036
LBN Legal business name Christie, Marc Kiphonge
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 30th, 2016 - about 8 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 1992732036 NPPES
Florida Other OT10020 OT LICENSE

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