Balthazor, Kristin Marie

Balthazor, Kristin Marie is an individual health care provider with primary practice located at 2124 Kohler Memorial Dr , Sheboygan WI 53081-3169. 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. Balthazor, Kristin Marie can be contacted via phone (833) 821-7246.

Contact Information

Primary practice address
2124 Kohler Memorial Dr Sheboygan WI 53081-3169
Phone: (833) 821-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.003246 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4402-23 Wisconsin

Profile Details

NPI number 1649422619
LBN Legal business name Balthazor, Kristin Marie
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Mar 13th, 2023 - about 3 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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