Edgar, Kristi Ann
Edgar, Kristi Ann is an sole proprietor health care provider with primary practice located at 225 I St , Crescent City CA 95531-4305. 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. Edgar, Kristi Ann can be contacted via phone (707) 464-9511.Contact Information
Primary practice address
225 I St
Crescent City CA 95531-4305
Phone: (707) 464-9511
Fax: (707) 464-9513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 293639 | California |
Profile Details
| NPI number | 1083131460 |
|---|---|
| LBN Legal business name | Edgar, Kristi Ann |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083131460 | NPPES |
| California | Other | 293639 | CA STATE BOARD OF PT |
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