Iverson, Kristi Ann

Iverson, Kristi Ann is an individual health care provider with primary practice located at 110 Evergreen Square , Pine City MN 55063. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Iverson, Kristi Ann can be contacted via phone (320) 629-7262.

Contact Information

Primary practice address
110 Evergreen Square Pine City MN 55063
Fax: (320) 629-7789
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2585 Minnesota

Profile Details

NPI number 1669407581
LBN Legal business name Iverson, Kristi Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669407581 NPPES
Minnesota MEDICAID 493717100

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