Deacon, Kristen
Deacon, Kristen is an sole proprietor health care provider with primary practice located at 3261 W State Rd , Saint Bonaventure NY 14778-9800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deacon, Kristen can be contacted via phone (716) 425-1543.Contact Information
Primary practice address
3261 W State Rd
Saint Bonaventure NY 14778-9800
Phone: (716) 425-1543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1154036093 |
|---|---|
| LBN Legal business name | Deacon, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2023 |
| Last updated | Jan 16th, 2023 - about last year |
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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