Hernandez Mcdougall, Kristina Marie

Hernandez Mcdougall, Kristina Marie is an individual health care provider with primary practice located at 151 W. Brundage St. , Sheridan WY 82801. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hernandez Mcdougall, Kristina Marie can be contacted via phone (307) 674-1668.

Contact Information

Primary practice address
151 W. Brundage St. Sheridan WY 82801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1639430663
LBN Legal business name Hernandez Mcdougall, Kristina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 14 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 1639430663 NPPES
Wyoming Other 1740318013 NPI#

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