Maciunas, Kristinia
Maciunas, Kristinia is an individual health care provider with primary practice located at 207 South Princess Street , Shepherdstown WV 25443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Maciunas, Kristinia can be contacted via phone (304) 261-0313.Contact Information
Primary practice address
207 South Princess Street
Shepherdstown WV 25443
Phone: (304) 261-0313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14514 | West Virginia |
Profile Details
| NPI number | 1669474755 |
|---|---|
| LBN Legal business name | Maciunas, Kristinia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Apr 17th, 2015 - about 9 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 | 1669474755 | NPPES |
| West Virginia | MEDICAID | 0045551000 |
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