Popelka, Kristine
Popelka, Kristine is an sole proprietor health care provider with primary practice located at 4000 Mayflower Hl , Waterville ME 04901-8840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Popelka, Kristine can be contacted via phone (207) 859-4490.Contact Information
Primary practice address
4000 Mayflower Hl
Waterville ME 04901-8840
Phone: (207) 859-4490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | AT717 | Maine |
Profile Details
| NPI number | 1396405411 |
|---|---|
| LBN Legal business name | Popelka, Kristine |
| Credentials | MS ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2021 |
| Last updated | Dec 30th, 2021 - 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 | 1396405411 | NPPES |
| Maine | Other | AT717 | AT STATE LICENSE |
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