Kisner, Kristofer

Kisner, Kristofer is an sole proprietor health care provider with primary practice located at 119 W Sulphur St Ste. B-2, Lake Elsinore CA 92530-3703. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Kisner, Kristofer can be contacted via phone (951) 454-2673.

Contact Information

Primary practice address
119 W Sulphur St Ste. B-2 Lake Elsinore CA 92530-3703
Phone: (951) 454-2673
Fax: (951) 344-1749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X California

Profile Details

NPI number 1477844116
LBN Legal business name Kisner, Kristofer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2011
Last updated May 18th, 2015 - about 11 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 1477844116 NPPES
California Other 201418017 WORKCOMP

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