Robatcek, Kristen Kimble
Robatcek, Kristen Kimble is an individual health care provider with primary practice located at 206 S Roosevelt Rd Ste 124 , Black River Falls WI 54615-8810. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Robatcek, Kristen Kimble can be contacted via phone (715) 670-8692.Contact Information
Primary practice address
206 S Roosevelt Rd Ste 124
Black River Falls WI 54615-8810
Phone: (715) 670-8692
Fax: (608) 785-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7628-125 | Wisconsin |
Profile Details
| NPI number | 1154836039 |
|---|---|
| LBN Legal business name | Robatcek, Kristen Kimble |
| Credentials | LPT-CIT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2017 |
| Last updated | Jan 4th, 2020 - about 5 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 | 1154836039 | NPPES |
| Wisconsin | Other | 7628-125 | LICENSE |
| Wisconsin | MEDICAID | 100074034 | LICENSE |
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