Smith, Christina
Smith, Christina is an individual health care provider with primary practice located at 2086 Ridgeway Dr , Grand Rapids MN 55744-4421. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Christina can be contacted via phone (218) 327-9944.Contact Information
Primary practice address
2086 Ridgeway Dr
Grand Rapids MN 55744-4421
Phone: (218) 327-9944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1063730737 |
|---|---|
| LBN Legal business name | Smith, Christina |
| Credentials | Clinical Dietitian (CD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2010 |
| Last updated | May 5th, 2010 - about 14 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 | 1063730737 | NPPES |
| Minnesota | Other | 301636 | STATE LICENSE |
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