Doelitsch, Kristin Timm

Doelitsch, Kristin Timm is an individual health care provider with primary practice located at 14201 W Sunrise Blvd Ste 107 , Sunrise FL 33323-3207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Doelitsch, Kristin Timm can be contacted via phone (954) 756-2818.

Contact Information

Primary practice address
14201 W Sunrise Blvd Ste 107 Sunrise FL 33323-3207
Phone: (954) 756-2818
Fax: (954) 514-1126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5524 South Carolina

Profile Details

NPI number 1922206184
LBN Legal business name Doelitsch, Kristin Timm
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2019 - about 6 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 1922206184 NPPES
South Carolina MEDICAID TH1811
South Carolina Other 426567
South Carolina MEDICAID GP1753

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