Kristensen, John W

Kristensen, John W is an sole proprietor health care provider with primary practice located at 165 S 6Th St , Raymondville TX 78580-3521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kristensen, John W can be contacted via phone (956) 689-5506.

Contact Information

Primary practice address
165 S 6Th St Raymondville TX 78580-3521
Phone: (956) 689-5506
Fax: (956) 689-1988
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G2414 Texas

Profile Details

NPI number 1316944358
LBN Legal business name Kristensen, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2005
Last updated Jun 13th, 2008 - about 18 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 1316944358 NPPES
Texas Other 0000047206501 UNITED HEALTHCARE
Texas MEDICAID 121472802 UNITED HEALTHCARE
Texas Other 00SH91 UNITED HEALTHCARE
Texas Other 110005062 UNITED HEALTHCARE
Texas Other 742591908 UNITED HEALTHCARE
Texas Other 135937100 UNITED HEALTHCARE
Texas Other 4357806 UNITED HEALTHCARE
Texas Other 2869048P01 UNITED HEALTHCARE

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