Wonderly, Kristel Eden
Wonderly, Kristel Eden is an sole proprietor health care provider with primary practice located at 3276 Commercial St Se , Salem OR 97302-4584. She recently has only one registered license in Other Service Providers / Reflexologist, which is considered as her primary health care specialty. Wonderly, Kristel Eden can be contacted via phone (503) 749-2199.Contact Information
Primary practice address
3276 Commercial St Se
Salem OR 97302-4584
Phone: (503) 749-2199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Reflexologist | 173C00000X | 11433 | Oregon |
Profile Details
| NPI number | 1114174455 |
|---|---|
| LBN Legal business name | Wonderly, Kristel Eden |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2008 |
| Last updated | Aug 19th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114174455 | NPPES |
| Oregon | Other | 11433 | MASSAGE THERAPIST LICENSE |
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