Black, Kristen Haas
Black, Kristen Haas is an sole proprietor health care provider with primary practice located at 3723 W 12600 S Ste 360 , Riverton UT 84065-7296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Black, Kristen Haas can be contacted via phone (801) 285-4700.Contact Information
Primary practice address
3723 W 12600 S Ste 360
Riverton UT 84065-7296
Phone: (801) 285-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5101019941 | Michigan |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 9732284-1204 | Utah |
Profile Details
| NPI number | 1982965034 |
|---|---|
| LBN Legal business name | Black, Kristen Haas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Jun 24th, 2016 - about 9 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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