Toliver, Kristin Ruth

Toliver, Kristin Ruth is an individual health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Toliver, Kristin Ruth can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Phone: (260) 426-5431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001259A Indiana

Profile Details

NPI number 1720420748
LBN Legal business name Toliver, Kristin Ruth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2013
Last updated Sep 25th, 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 1720420748 NPPES
Indiana Other 07001259A PODIATRY LICENSE
Indiana Other 135.000822 PODIATRY LICENSE

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