Mosier, Kristine M
Mosier, Kristine M is an individual health care provider with primary practice located at 1701 N Senate Blvd Room 1204A, Indianapolis IN 46202-1239. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Radiology is her primary health care specialty. Mosier, Kristine M can be contacted via phone (317) 962-6793.Contact Information
Primary practice address
1701 N Senate Blvd Room 1204A
Indianapolis IN 46202-1239
Phone: (317) 962-6793
Fax: (317) 962-8281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010577 | Indiana |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 12010577 | Indiana |
Profile Details
| NPI number | 1912946872 |
|---|---|
| LBN Legal business name | Mosier, Kristine M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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 | 1912946872 | NPPES |
| Indiana | Other | 000000358075 | ANTHEM BCBS |
| Indiana | Other | P00267322 | ANTHEM BCBS |
| Indiana | Other | P00816224 | ANTHEM BCBS |
| Indiana | MEDICAID | 200490890 | ANTHEM BCBS |
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