Kreiensieck, Charlene

Kreiensieck, Charlene is an individual health care provider with primary practice located at 724 N Main St , Laconia NH 03246-2742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kreiensieck, Charlene can be contacted via phone (603) 524-5151.

Contact Information

Primary practice address
724 N Main St Laconia NH 03246-2742
Phone: (603) 524-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0377 New Hampshire

Profile Details

NPI number 1710990841
LBN Legal business name Kreiensieck, Charlene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
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 1710990841 NPPES
New Hampshire MEDICAID 30331636

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