Stahl, Kristin V

Stahl, Kristin V is an sole proprietor health care provider with primary practice located at 101 United Dr Suite 110, Collinsville IL 62234-7428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Stahl, Kristin V can be contacted via phone (618) 855-9041.

Contact Information

Primary practice address
101 United Dr Suite 110 Collinsville IL 62234-7428
Phone: (618) 855-9041
Fax: (618) 855-9046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036100294 Illinois

Profile Details

NPI number 1942369145
LBN Legal business name Stahl, Kristin V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Dec 6th, 2021 - about 3 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 1942369145 NPPES
Illinois Other 6032067 BC BS OF ILLINOIS FEDERAL
Illinois Other 050558664 BC BS OF ILLINOIS FEDERAL
Illinois Other 6032067 BC BS OF ILLINOIS FEDERAL
Illinois Other 1202462 BC BS OF ILLINOIS FEDERAL
Illinois Other 412708 BC BS OF ILLINOIS FEDERAL
Illinois Other 7084003 BC BS OF ILLINOIS FEDERAL
Illinois MEDICAID 036100294-3 BC BS OF ILLINOIS FEDERAL
Illinois Other 164815 BC BS OF ILLINOIS FEDERAL
Illinois Other 6032067 BC BS OF ILLINOIS FEDERAL
Illinois Other PC19811 BC BS OF ILLINOIS FEDERAL
Illinois Other 164815 BC BS OF ILLINOIS FEDERAL
Illinois Other 205323819 BC BS OF ILLINOIS FEDERAL

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