Engstrom, Kristin F
Engstrom, Kristin F is an individual health care provider with primary practice located at 4731 13Th Ave S , Fargo ND 58103-7205. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Engstrom, Kristin F can be contacted via phone (701) 281-2746.Contact Information
Primary practice address
4731 13Th Ave S
Fargo ND 58103-7205
Phone: (701) 281-2746
Fax: (701) 281-2747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 582 | North Dakota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2512 | Minnesota |
Profile Details
| NPI number | 1154427565 |
|---|---|
| LBN Legal business name | Engstrom, Kristin F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 29th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154427565 | NPPES |
| North Dakota | MEDICAID | 60597 |
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