Bronnenberg, Kristanza Marie
Bronnenberg, Kristanza Marie is an individual health care provider with primary practice located at 620 19Th St , Cody WY 82414-3305. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bronnenberg, Kristanza Marie can be contacted via phone (307) 587-4206.Contact Information
Primary practice address
620 19Th St
Cody WY 82414-3305
Phone: (307) 587-4206
Fax: (307) 587-5539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 429T | Wyoming |
Profile Details
| NPI number | 1801437140 |
|---|---|
| LBN Legal business name | Bronnenberg, Kristanza Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2019 |
| Last updated | Dec 18th, 2020 - about 6 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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