Masuga, Kristina Lynne
Masuga, Kristina Lynne is an sole proprietor health care provider with primary practice located at 10409 S Riverside Dr , Sault Sainte Marie MI 49783-8616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Masuga, Kristina Lynne can be contacted via phone (906) 203-5848.Contact Information
Primary practice address
10409 S Riverside Dr
Sault Sainte Marie MI 49783-8616
Phone: (906) 203-5848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301063737 | Michigan |
Profile Details
| NPI number | 1033171871 |
|---|---|
| LBN Legal business name | Masuga, Kristina Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1033171871 | NPPES |
| Michigan | Other | 5315054007 | CONTROLLED SUBSTANCE LICENSE |
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