Grapes, Kristin Elizabeth
Grapes, Kristin Elizabeth is an sole proprietor health care provider with primary practice located at 2910 Briarcliff Road , Winston Salem NC 27106-3176. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Grapes, Kristin Elizabeth can be contacted via phone (336) 407-6764.Contact Information
Primary practice address
2910 Briarcliff Road
Winston Salem NC 27106-3176
Phone: (336) 407-6764
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 673 | North Carolina |
Profile Details
NPI number | 1427089671 |
---|---|
LBN Legal business name | Grapes, Kristin Elizabeth |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2006 |
Last updated | Jun 13th, 2016 - about 8 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 | 1427089671 | NPPES |
North Carolina | Other | 1582323 | VALUE OPTIONS |
North Carolina | MEDICAID | 6000520 | VALUE OPTIONS |
North Carolina | Other | 6114757 | VALUE OPTIONS |
North Carolina | Other | 03629 | VALUE OPTIONS |
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