Storkersen, Kris John
Storkersen, Kris John is an individual health care provider with primary practice located at 400 N Pepper Ave Armc Modular# 3, Colton CA 92324-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Storkersen, Kris John can be contacted via phone (909) 580-6210.Contact Information
Primary practice address
400 N Pepper Ave Armc Modular# 3
Colton CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G69270 | California |
Profile Details
| NPI number | 1154438935 |
|---|---|
| LBN Legal business name | Storkersen, Kris John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Sep 30th, 2008 - about 16 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 | 1154438935 | NPPES |
| California | MEDICAID | GR0079700 |
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