Kristal, Fredric A
Kristal, Fredric A is an individual health care provider with primary practice located at 29 Franklin St , Bangor ME 04401-4909. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kristal, Fredric A can be contacted via phone (207) 942-3816.Contact Information
Primary practice address
29 Franklin St
Bangor ME 04401-4909
Phone: (207) 942-3816
Fax: (207) 561-4725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS925 | Maine |
Profile Details
| NPI number | 1649210865 |
|---|---|
| LBN Legal business name | Kristal, Fredric A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 4th, 2021 - about 3 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 | 1649210865 | NPPES |
| Maine | MEDICAID | 223490099 | |
| Maine | Other | 098303 |
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