Kristovich, Ann H

Kristovich, Ann H is an individual health care provider with primary practice located at 901 W 38Th St Ste 410 , Austin TX 78705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Kristovich, Ann H can be contacted via phone (512) 992-1378.

Contact Information

Primary practice address
901 W 38Th St Ste 410 Austin TX 78705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 11503 Texas

Profile Details

NPI number 1679799431
LBN Legal business name Kristovich, Ann H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jun 28th, 2018 - about 6 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 1679799431 NPPES
Texas MEDICAID 008355204
Texas Other 43319YKZJ

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