Goodman, Kristin Bentivogli

Goodman, Kristin Bentivogli is an individual health care provider with primary practice located at 9685 Main St Ste B , Fairfax VA 22031-3752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Goodman, Kristin Bentivogli can be contacted via phone (703) 978-8400.

Contact Information

Primary practice address
9685 Main St Ste B Fairfax VA 22031-3752
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 2305205066 Virginia

Profile Details

NPI number 1972796910
LBN Legal business name Goodman, Kristin Bentivogli
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Aug 23rd, 2007 - about 16 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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