Everding, Kristine R
Everding, Kristine R is an sole proprietor health care provider with primary practice located at 1002 S Dillard St Ste 122 , Winter Garden FL 34787-3991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Everding, Kristine R can be contacted via phone (407) 656-4222.Contact Information
Primary practice address
1002 S Dillard St Ste 122
Winter Garden FL 34787-3991
Phone: (407) 656-4222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41163 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME113555 | Florida |
Profile Details
| NPI number | 1760568935 |
|---|---|
| LBN Legal business name | Everding, Kristine R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jun 4th, 2024 - about 6 months 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 | 1760568935 | NPPES |
| Minnesota | MEDICAID | 845323300 | |
| Minnesota | MEDICAID | 1130880 | |
| Minnesota | Other | 06G49EV | |
| Minnesota | Other | 129155 | |
| Minnesota | Other | 080124079 |
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