Modaff, Kristina

Modaff, Kristina is an individual health care provider with primary practice located at 300 Femrite Dr , Monona WI 53716-3716. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Modaff, Kristina can be contacted via phone (608) 222-7311.

Contact Information

Primary practice address
300 Femrite Dr Monona WI 53716-3716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15673-131 Wisconsin

Profile Details

NPI number 1861899718
LBN Legal business name Modaff, Kristina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 2014 - about 12 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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