Roush, Kristine L

Roush, Kristine L is an individual health care provider with primary practice located at 1650 Barlow Street Suite 11, Traverse City MI 49684. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Roush, Kristine L can be contacted via phone (231) 941-3100.

Contact Information

Primary practice address
1650 Barlow Street Suite 11 Traverse City MI 49684
Phone: (231) 941-3100
Fax: (231) 922-0382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501008956 Michigan

Profile Details

NPI number 1508901646
LBN Legal business name Roush, Kristine L
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508901646 NPPES
Michigan Other 650B810890 BLUE CROSS BLUE SHIELD
Michigan Other P00097059 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4597265 BLUE CROSS BLUE SHIELD

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