Prunchak, Kristin Jolene

Prunchak, Kristin Jolene is an individual health care provider with primary practice located at 4130 Northwest Blvd , Davenport IA 52806-4243. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Prunchak, Kristin Jolene can be contacted via phone (563) 388-3291.

Contact Information

Primary practice address
4130 Northwest Blvd Davenport IA 52806-4243
Phone: (563) 388-3291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1922652429
LBN Legal business name Prunchak, Kristin Jolene
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922652429 NPPES
Iowa Other NONE NONE OBTAINED

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