Sipe, Kristen
Sipe, Kristen is an individual health care provider with primary practice located at 1688 Lawrenceville Hwy , Lawrenceville GA 30044-4608. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Other Service Providers / Specialist is her primary health care specialty. Sipe, Kristen can be contacted via phone (770) 995-2379.Contact Information
Primary practice address
1688 Lawrenceville Hwy
Lawrenceville GA 30044-4608
Phone: (770) 995-2379
Fax: (770) 995-2385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT003716 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT003716 | Georgia |
Profile Details
| NPI number | 1033286133 |
|---|---|
| LBN Legal business name | Sipe, Kristen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1033286133 | NPPES |
| Georgia | MEDICAID | 10037764 | |
| Georgia | MEDICAID | 306066 |
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