Goodman, Kristin Bentivogli
Goodman, Kristin Bentivogli is an individual health care provider with primary practice located at 9685 Main St Ste B , Fairfax VA 22031-3752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Goodman, Kristin Bentivogli can be contacted via phone (703) 978-8400.Contact Information
Primary practice address
9685 Main St Ste B
Fairfax VA 22031-3752
Phone: (703) 978-8400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2305205066 | Virginia |
Profile Details
NPI number | 1972796910 |
---|---|
LBN Legal business name | Goodman, Kristin Bentivogli |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2007 |
Last updated | Aug 23rd, 2007 - about 18 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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