Michael, Kristine Elizabeth

Michael, Kristine Elizabeth is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Suite 100, Coon Rapids MN 55433-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Michael, Kristine Elizabeth can be contacted via phone (763) 427-8320.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Suite 100 Coon Rapids MN 55433-2697
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10341 Minnesota

Profile Details

NPI number 1356535926
LBN Legal business name Michael, Kristine Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated May 19th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356535926 NPPES
Minnesota Other 1052601 PREFERRED ONE
Minnesota Other HP83447 PREFERRED ONE
Minnesota Other 0128253 PREFERRED ONE
Minnesota Other 0R850MI PREFERRED ONE
Minnesota MEDICAID 1356535926 PREFERRED ONE
Minnesota Other 1356535926 PREFERRED ONE
Minnesota Other 139780C029 PREFERRED ONE
Minnesota MEDICAID 41944100 PREFERRED ONE

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