Clark, Kristine J.

Clark, Kristine J. is an individual health care provider with primary practice located at Valley Orthopedic Clinic Sc 2105 E Enterprise Ave., Ste 111, Appleton WI 54913-7862. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Clark, Kristine J. can be contacted via phone (920) 731-6611.

Contact Information

Primary practice address
Valley Orthopedic Clinic Sc 2105 E Enterprise Ave., Ste 111 Appleton WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1073795506
LBN Legal business name Clark, Kristine J.
Credentials Orthopedic Technician, Certified (OTC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073795506 NPPES
Other 06-0813 ORTHOPAEDIC TECH-CERT

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