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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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