Stienstra, Kathleen L. A.

Stienstra, Kathleen L. A. is an individual health care provider with primary practice located at 1801 N 6Th St Ste 600 , Terre Haute IN 47804-4097. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Acupuncturist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Stienstra, Kathleen L. A. can be contacted via phone (812) 235-4867.

Contact Information

Primary practice address
1801 N 6Th St Ste 600 Terre Haute IN 47804-4097
Phone: (812) 235-4867
Fax: (812) 232-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01038853 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G5853 Texas
Other Service Providers / Acupuncturist 171100000X 01038853 Indiana

Profile Details

NPI number 1760473334
LBN Legal business name Stienstra, Kathleen L. A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Oct 7th, 2011 - about 13 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 1760473334 NPPES
Indiana MEDICAID 100368690

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