Osan, Kristin

Osan, Kristin is an individual health care provider with primary practice located at 4111 Franklin St , Michigan City IN 46360-7803. 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. Osan, Kristin can be contacted via phone (219) 873-2919.

Contact Information

Primary practice address
4111 Franklin St Michigan City IN 46360-7803
Phone: (219) 873-2919
Fax: (219) 873-2909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC047 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001513A Indiana

Profile Details

NPI number 1770679052
LBN Legal business name Osan, Kristin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 11th, 2023 - about 3 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 1770679052 NPPES
Indiana MEDICAID 300007766
Indiana MEDICAID 7100002730

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