Sargent, Kristina L
Sargent, Kristina L is an individual health care provider with primary practice located at 416 E Roosevelt Rd Ste 107, Wheaton IL 60187-5589. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Internist, Chiropractic Providers / Nutrition. Chiropractic Providers / Nutrition is her primary health care specialty. Sargent, Kristina L can be contacted via phone (630) 682-5090.Contact Information
Primary practice address
416 E Roosevelt Rd Ste 107
Wheaton IL 60187-5589
Phone: (630) 682-5090
Fax: (630) 260-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 038007040 | Illinois |
| Chiropractic Providers / Nutrition | 111NN1001X | 038007040 | Illinois |
Profile Details
| NPI number | 1811909633 |
|---|---|
| LBN Legal business name | Sargent, Kristina L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 4th, 2010 - about 16 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 | 1811909633 | NPPES |
| Illinois | Other | 02215708 | BCBS |
| Illinois | Other | 601205300 | BCBS |
| Illinois | Other | 271151301 | BCBS |
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