Wilson, Kristie Mae
Wilson, Kristie Mae is an sole proprietor health care provider with primary practice located at 4405 S Baldwin Rd Ste E, Lake Orion MI 48359-2164. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wilson, Kristie Mae can be contacted via phone (248) 390-6422.Contact Information
Primary practice address
4405 S Baldwin Rd Ste E
Lake Orion MI 48359-2164
Phone: (248) 390-6422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501009262 | Michigan |
Profile Details
| NPI number | 1376716639 |
|---|---|
| LBN Legal business name | Wilson, Kristie Mae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Sep 10th, 2020 - about 5 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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