Michael, Kristine Elizabeth
Michael, Kristine Elizabeth is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Suite 100, Coon Rapids MN 55433-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Michael, Kristine Elizabeth can be contacted via phone (763) 427-8320.Contact Information
Primary practice address
3833 Coon Rapids Blvd Suite 100
Coon Rapids MN 55433-2697
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10341 | Minnesota |
Profile Details
| NPI number | 1356535926 |
|---|---|
| LBN Legal business name | Michael, Kristine Elizabeth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | May 19th, 2022 - about 4 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 | 1356535926 | NPPES |
| Minnesota | Other | 1052601 | PREFERRED ONE |
| Minnesota | Other | HP83447 | PREFERRED ONE |
| Minnesota | Other | 0128253 | PREFERRED ONE |
| Minnesota | Other | 0R850MI | PREFERRED ONE |
| Minnesota | MEDICAID | 1356535926 | PREFERRED ONE |
| Minnesota | Other | 1356535926 | PREFERRED ONE |
| Minnesota | Other | 139780C029 | PREFERRED ONE |
| Minnesota | MEDICAID | 41944100 | PREFERRED ONE |
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