Primley, Krista S
Primley, Krista S is an individual health care provider with primary practice located at 2581 Development Dr , Green Bay WI 54311-4247. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Primley, Krista S can be contacted via phone (920) 347-0400.Contact Information
Primary practice address
2581 Development Dr
Green Bay WI 54311-4247
Phone: (920) 347-0400
Fax: (920) 347-0868
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D14292 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RES-30533 | Iowa |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6001396 | Wisconsin |
Profile Details
NPI number | 1073013025 |
---|---|
LBN Legal business name | Primley, Krista S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2018 |
Last updated | Feb 6th, 2024 - about 9 months 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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