Unterberger, Kristen Elisabeth

Unterberger, Kristen Elisabeth is an individual health care provider with primary practice located at 500 Irvin Ct Ste 200 , Decatur GA 30030-1705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Unterberger, Kristen Elisabeth can be contacted via phone (404) 712-1370.

Contact Information

Primary practice address
500 Irvin Ct Ste 200 Decatur GA 30030-1705
Fax:
Website:

Health care specialties

Profile Details

NPI number 1053378810
LBN Legal business name Unterberger, Kristen Elisabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 18th, 2024 - about 6 months 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 1053378810 NPPES
Georgia MEDICAID 100001509

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