Root, Kristen Marie
Root, Kristen Marie is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Root, Kristen Marie can be contacted via phone (484) 628-8589.Contact Information
Primary practice address
420 S 5Th Ave
West Reading PA 19611-2143
Phone: (484) 628-8589
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD469869 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17848 | New Hampshire |
Profile Details
| NPI number | 1861836959 |
|---|---|
| LBN Legal business name | Root, Kristen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2013 |
| Last updated | Dec 29th, 2021 - about 5 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 | 1861836959 | NPPES |
| Vermont | MEDICAID | 1031519 | |
| Vermont | MEDICAID | 3109667 |
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