Mammenga, Kristine Elizabeth
Mammenga, Kristine Elizabeth is an individual health care provider with primary practice located at 6189 Lehman Dr , Colorado Spring CO 80918. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mammenga, Kristine Elizabeth can be contacted via phone (719) 225-4655.Contact Information
Primary practice address
6189 Lehman Dr
Colorado Spring CO 80918
Phone: (719) 225-4655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1770062770 |
|---|---|
| LBN Legal business name | Mammenga, Kristine Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Aug 9th, 2018 - 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.
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