Nordahl, Kristin
Nordahl, Kristin is an individual health care provider with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Nordahl, Kristin can be contacted via phone (360) 636-3892.Contact Information
Primary practice address
1057 12Th Ave
Longview WA 98632-2509
Phone: (360) 636-3892
Fax: (360) 414-1114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00131874 | Washington |
Dental Providers / General Practice | 1223G0001X | DE60035277 | Washington |
Profile Details
NPI number | 1811136898 |
---|---|
LBN Legal business name | Nordahl, Kristin |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2009 |
Last updated | Sep 13th, 2023 - about last year |
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 | 1811136898 | NPPES |
Washington | MEDICAID | 5059464 |
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