Muckian, Kristin M.

Muckian, Kristin M. is an individual health care provider with primary practice located at 6408 Copps Ave , Monona WI 53716-3702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Muckian, Kristin M. can be contacted via phone (608) 417-6000.

Contact Information

Primary practice address
6408 Copps Ave Monona WI 53716-3702
Phone: (608) 417-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5355-26 Wisconsin

Profile Details

NPI number 1376721720
LBN Legal business name Muckian, Kristin M.
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Dec 29th, 2020 - about 6 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 1376721720 NPPES
Wisconsin MEDICAID 137621720

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