Formosa, Kristen Ann

Formosa, Kristen Ann is an individual health care provider with primary practice located at 4440 Lapham St , Dearborn MI 48126-3473. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Formosa, Kristen Ann can be contacted via phone (313) 969-6210.

Contact Information

Primary practice address
4440 Lapham St Dearborn MI 48126-3473
Phone: (313) 969-6210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 6801095545 Michigan

Profile Details

NPI number 1275985772
LBN Legal business name Formosa, Kristen Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Jul 7th, 2016 - about 9 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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