Kistler, Brian
Kistler, Brian is an individual health care provider with primary practice located at 2342 Professional Pkwy Ste 200 , Santa Maria CA 93455-1690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Kistler, Brian can be contacted via phone (805) 349-9545.Contact Information
Primary practice address
2342 Professional Pkwy Ste 200
Santa Maria CA 93455-1690
Phone: (805) 349-9545
Fax: (805) 349-8025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | C170907 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME115203 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 274343 | New York |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 274343 | New York |
Profile Details
NPI number | 1043473507 |
---|---|
LBN Legal business name | Kistler, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 4th, 2008 |
Last updated | Feb 1st, 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 | 1043473507 | NPPES |
New York | MEDICAID | 03894575 |
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