Fosberg, Kirstin Anne

Fosberg, Kirstin Anne is an individual health care provider with primary practice located at 6601 220Th St Sw Ste 1, Mountlake Terrace WA 98043-2166. 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. Fosberg, Kirstin Anne can be contacted via phone (425) 775-7274.

Contact Information

Primary practice address
6601 220Th St Sw Ste 1 Mountlake Terrace WA 98043-2166
Fax: (425) 775-0963
Website:

Health care specialties

Profile Details

NPI number 1558677302
LBN Legal business name Fosberg, Kirstin Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Jul 6th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558677302 NPPES
Washington MEDICAID 1558677302
Washington Other 0290893

Popular Providers