Kristovich, Deborah Jean
Kristovich, Deborah Jean is an sole proprietor health care provider with primary practice located at 2312 N 30Th St Ste 101, Tacoma WA 98403. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kristovich, Deborah Jean can be contacted via phone (253) 396-9001.Contact Information
Primary practice address
2312 N 30Th St Ste 101
Tacoma WA 98403
Phone: (253) 396-9001
Fax: (253) 396-1231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Washington |
Profile Details
| NPI number | 1194795997 |
|---|---|
| LBN Legal business name | Kristovich, Deborah Jean |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Sep 3rd, 2010 - about 16 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 | 1194795997 | NPPES |
| Washington | Other | 0152660 | LABOR AND INDUSTRIES |
| Washington | MEDICAID | 710935 | LABOR AND INDUSTRIES |
| Washington | Other | 0152661 | LABOR AND INDUSTRIES |
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