Kaczanowski, Kristen Ann
Kaczanowski, Kristen Ann is an sole proprietor health care provider with primary practice located at 1115 Main Street Suite #412, Bridgeport CT 06604-4406. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kaczanowski, Kristen Ann can be contacted via phone (203) 335-7260.Contact Information
Primary practice address
1115 Main Street Suite #412
Bridgeport CT 06604-4406
Phone: (203) 335-7260
Fax: (203) 335-2561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1076CT | Connecticut |
Profile Details
| NPI number | 1104073220 |
|---|---|
| LBN Legal business name | Kaczanowski, Kristen Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Aug 20th, 2008 - about 16 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 | 1104073220 | NPPES |
| Connecticut | Other | 050001076CT03 | BC/BS |
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