Lichtenberg, Kristin N
Lichtenberg, Kristin N is an individual health care provider with primary practice located at 1291 Boston Post Rd , Madison CT 06443-3476. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lichtenberg, Kristin N can be contacted via phone (203) 245-1413.Contact Information
Primary practice address
1291 Boston Post Rd
Madison CT 06443-3476
Phone: (203) 245-1413
Fax: (860) 358-8655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042072 | Connecticut |
Profile Details
| NPI number | 1558337121 |
|---|---|
| LBN Legal business name | Lichtenberg, Kristin N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Apr 7th, 2017 - about 8 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 | 1558337121 | NPPES |
| Connecticut | MEDICAID | 008042879 |
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