Osan, Kristin
Osan, Kristin is an individual health care provider with primary practice located at 4111 Franklin St , Michigan City IN 46360-7803. 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. Osan, Kristin can be contacted via phone (219) 873-2919.Contact Information
Primary practice address
4111 Franklin St
Michigan City IN 46360-7803
Phone: (219) 873-2919
Fax: (219) 873-2909
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TC047 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001513A | Indiana |
Profile Details
NPI number | 1770679052 |
---|---|
LBN Legal business name | Osan, Kristin |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Aug 11th, 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 | 1770679052 | NPPES |
Indiana | MEDICAID | 300007766 | |
Indiana | MEDICAID | 7100002730 |
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