D'Acquisto, Kristin A

D'Acquisto, Kristin A is an individual health care provider with primary practice located at W12802 County Road A , Bowler WI 54416-9551. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. D'Acquisto, Kristin A can be contacted via phone (715) 793-4144.

Contact Information

Primary practice address
W12802 County Road A Bowler WI 54416-9551
Phone: (715) 793-4144
Fax: (715) 793-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10696-016 Wisconsin

Profile Details

NPI number 1124359872
LBN Legal business name D'Acquisto, Kristin A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Jan 20th, 2010 - about 15 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 1124359872 NPPES
Wisconsin Other 10696-016 WISCONSIN STATE LICENSE

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