Clevenstine, Kristin
Clevenstine, Kristin is an individual health care provider with primary practice located at 2195 N Summit Village Way , Oconomowoc WI 53066-8675. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clevenstine, Kristin can be contacted via phone (262) 560-2400.Contact Information
Primary practice address
2195 N Summit Village Way
Oconomowoc WI 53066-8675
Phone: (262) 560-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1255572459 |
|---|---|
| LBN Legal business name | Clevenstine, Kristin |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2009 |
| Last updated | Oct 24th, 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 | 1255572459 | NPPES |
| Wisconsin | MEDICAID | 40871100 |
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