Proctor, Kristine Marie
Proctor, Kristine Marie is an individual health care provider with primary practice located at 13210 Se 240Th St Suite A-4, Kent WA 98042-5182. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Proctor, Kristine Marie can be contacted via phone (253) 631-1118.Contact Information
Primary practice address
13210 Se 240Th St Suite A-4
Kent WA 98042-5182
Phone: (253) 631-1118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00018749 | Washington |
Profile Details
| NPI number | 1588715957 |
|---|---|
| LBN Legal business name | Proctor, Kristine Marie |
| Credentials | LMP,MMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1588715957 | NPPES |
| Washington | Other | 0182527 | LABOR AND INDUSTRIES |
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