Theetge, Kristin Marie
Theetge, Kristin Marie is an sole proprietor health care provider with primary practice located at 1010 W La Veta Ave Ste 610 , Orange CA 92868-4306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Theetge, Kristin Marie can be contacted via phone (714) 285-2311.Contact Information
Primary practice address
1010 W La Veta Ave Ste 610
Orange CA 92868-4306
Phone: (714) 285-2311
Fax: (714) 285-2319
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 16619 | California |
Profile Details
NPI number | 1053440826 |
---|---|
LBN Legal business name | Theetge, Kristin Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 5th, 2007 |
Last updated | Feb 21st, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053440826 | NPPES |
California | Other | 639048 | REGISTERED NURSE LICENSE |
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