Vanwatteghem, Kristen D

Vanwatteghem, Kristen D is an individual health care provider with primary practice located at 701 Manatee Ave W Suite 201, Bradenton FL 34205-8604. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vanwatteghem, Kristen D can be contacted via phone (941) 749-5222.

Contact Information

Primary practice address
701 Manatee Ave W Suite 201 Bradenton FL 34205-8604
Phone: (941) 749-5222
Fax: (941) 749-1839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY0000946 Florida

Profile Details

NPI number 1639292717
LBN Legal business name Vanwatteghem, Kristen D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1639292717 NPPES
Florida Other 4456914001 BCBS PPO
Florida Other S1940 BCBS PPO

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