Roberts, Kristie Ann
Roberts, Kristie Ann is an individual health care provider with primary practice located at 1105 Hillside Ave Sw , Pine City MN 55063. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Roberts, Kristie Ann can be contacted via phone (320) 629-2789.Contact Information
Primary practice address
1105 Hillside Ave Sw
Pine City MN 55063
Phone: (320) 629-2789
Fax: (320) 629-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10870 | Minnesota |
Profile Details
| NPI number | 1053372656 |
|---|---|
| LBN Legal business name | Roberts, Kristie Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1053372656 | NPPES |
| Minnesota | Other | HP28208 | HEALTH PARTNERS |
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