Erickstad, Kristen Hibbs
Erickstad, Kristen Hibbs is an individual health care provider with primary practice located at 709 Hollybrook Dr Ste 4500 , Longview TX 75605-2412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Erickstad, Kristen Hibbs can be contacted via phone (903) 757-6042.Contact Information
Primary practice address
709 Hollybrook Dr Ste 4500
Longview TX 75605-2412
Phone: (903) 757-6042
Fax: (903) 291-6286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | Q7551 | Texas |
Profile Details
| NPI number | 1972894616 |
|---|---|
| LBN Legal business name | Erickstad, Kristen Hibbs |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2011 |
| Last updated | Sep 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972894616 | NPPES |
| Texas | MEDICAID | 360637802 |
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