Kistner, Robert L
Kistner, Robert L is an sole proprietor health care provider with primary practice located at 2755 Silver Creek Rd Ste 111 , Bullhead City AZ 86442-8343. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kistner, Robert L can be contacted via phone (928) 704-7163.Contact Information
Primary practice address
2755 Silver Creek Rd Ste 111
Bullhead City AZ 86442-8343
Phone: (928) 704-7163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AZ20804 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35056109 | Ohio |
Profile Details
| NPI number | 1063404572 |
|---|---|
| LBN Legal business name | Kistner, Robert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Mar 13th, 2024 - about last year |
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 | 1063404572 | NPPES |
| Ohio | MEDICAID | 0491638 | |
| Ohio | MEDICAID | 130170 |
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