Tryska, Karissa Leah

Tryska, Karissa Leah is an individual health care provider with primary practice located at 1675 Leahy St Suite 428, Muskegon MI 49442-5500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tryska, Karissa Leah can be contacted via phone (231) 672-3300.

Contact Information

Primary practice address
1675 Leahy St Suite 428 Muskegon MI 49442-5500
Phone: (231) 672-3300
Fax: (231) 672-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101015747 Michigan

Profile Details

NPI number 1174741409
LBN Legal business name Tryska, Karissa Leah
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 10th, 2012 - about 14 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 1174741409 NPPES
Michigan Other 700F110460 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 5204157 BLUE CROSS BLUE SHIELD
Michigan Other KT015747 BLUE CROSS BLUE SHIELD

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