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
Phone: (320) 629-7262
Fax: (320) 629-7789
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669407581 | NPPES |
Minnesota | MEDICAID | 493717100 |
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