Kistler, Elaine D.

Kistler, Elaine D. is an individual health care provider with primary practice located at 1429 E Marion St Ste 5, Shelby NC 28150-4986. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Kistler, Elaine D. can be contacted via phone (704) 480-5440.

Contact Information

Primary practice address
1429 E Marion St Ste 5 Shelby NC 28150-4986
Phone: (704) 480-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 770 North Carolina

Profile Details

NPI number 1457470056
LBN Legal business name Kistler, Elaine D.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457470056 NPPES
North Carolina Other 046ME BLUE CROSS & BLUE SHIELD

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