Iwanicki, Krista

Iwanicki, Krista is an individual health care provider with primary practice located at 915 Sullivan Ave Ste 3 , South Windsor CT 06074-2165. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Iwanicki, Krista can be contacted via phone (860) 644-2335.

Contact Information

Primary practice address
915 Sullivan Ave Ste 3 South Windsor CT 06074-2165
Phone: (860) 644-2335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 6039 Connecticut

Profile Details

NPI number 1184261018
LBN Legal business name Iwanicki, Krista
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Sep 4th, 2022 - about 4 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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