Provo, Krystin Jade
Provo, Krystin Jade is an individual health care provider with primary practice located at 112 E 17Th St , Ottawa KS 66067-3800. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Provo, Krystin Jade can be contacted via phone (785) 242-9393.Contact Information
Primary practice address
112 E 17Th St
Ottawa KS 66067-3800
Phone: (785) 242-9393
Fax: (913) 538-2289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 01-05533 | Kansas |
Profile Details
| NPI number | 1598100448 |
|---|---|
| LBN Legal business name | Provo, Krystin Jade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2013 |
| Last updated | Jul 21st, 2022 - about 2 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.
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