Heidewald, Kristen

Heidewald, Kristen is an individual health care provider with primary practice located at 5537 W Broadway Ave , Crystal MN 55428-3507. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Heidewald, Kristen can be contacted via phone (763) 553-2231.

Contact Information

Primary practice address
5537 W Broadway Ave Crystal MN 55428-3507
Phone: (763) 553-2231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 122111 Minnesota

Profile Details

NPI number 1366848319
LBN Legal business name Heidewald, Kristen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 12 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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