Herfkens, Kristine Marie
Herfkens, Kristine Marie is an sole proprietor health care provider with primary practice located at 3310 Croasdaile Dr Ste 400 , Durham NC 27705-6806. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Herfkens, Kristine Marie can be contacted via phone (919) 384-9682.Contact Information
Primary practice address
3310 Croasdaile Dr Ste 400
Durham NC 27705-6806
Phone: (919) 384-9682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2192 | North Carolina |
Profile Details
| NPI number | 1023104254 |
|---|---|
| LBN Legal business name | Herfkens, Kristine Marie |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1023104254 | NPPES |
| North Carolina | MEDICAID | 6000514 | |
| North Carolina | Other | 0376X | |
| North Carolina | Other | 5648716 |
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