Derosia, Kristy Lynn
Derosia, Kristy Lynn is an individual health care provider with primary practice located at 1420 London Rd Suite 206, Duluth MN 55805-2433. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Derosia, Kristy Lynn can be contacted via phone (218) 481-7474.Contact Information
Primary practice address
1420 London Rd Suite 206
Duluth MN 55805-2433
Phone: (218) 481-7474
Fax: (218) 789-4150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | H4727 | Minnesota |
Dental Providers / Dental Hygienist | 124Q00000X | 10916-016 | Wisconsin |
Profile Details
NPI number | 1851640478 |
---|---|
LBN Legal business name | Derosia, Kristy Lynn |
Credentials | Registered Dental Hygienist (RDH) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2012 |
Last updated | Jun 25th, 2015 - about 10 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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