Maschke, Kristin S

Maschke, Kristin S is an individual health care provider with primary practice located at 3040 Bourn St , Lewiston MI 49756-8134. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Maschke, Kristin S can be contacted via phone (989) 786-4877.

Contact Information

Primary practice address
3040 Bourn St Lewiston MI 49756-8134
Phone: (989) 786-4877
Fax: (989) 786-2187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301068537 Michigan

Profile Details

NPI number 1992778807
LBN Legal business name Maschke, Kristin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 21st, 2024 - about 2 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 1992778807 NPPES
Michigan MEDICAID 4503518
Michigan Other 0F96004

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