Cristdahl, Ilene L

Cristdahl, Ilene L is an sole proprietor health care provider with primary practice located at 101 Providence Mine Rd Suite 104, Nevada City CA 95959-2939. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Cristdahl, Ilene L can be contacted via phone (530) 470-8707.

Contact Information

Primary practice address
101 Providence Mine Rd Suite 104 Nevada City CA 95959-2939
Phone: (530) 470-8707
Fax: (530) 852-4996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC2301 California
Other Service Providers / Naturopath 175F00000X ND143 California

Profile Details

NPI number 1194943183
LBN Legal business name Cristdahl, Ilene L
Credentials MD LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 19th, 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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