Waddle, Kristina
Waddle, Kristina is an individual health care provider with primary practice located at 700 Park Ave , Ironton OH 45638-1502. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Waddle, Kristina can be contacted via phone (740) 532-1613.Contact Information
Primary practice address
700 Park Ave
Ironton OH 45638-1502
Phone: (740) 532-1613
Fax: (740) 532-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S.0022124 | Ohio |
Profile Details
| NPI number | 1588173843 |
|---|---|
| LBN Legal business name | Waddle, Kristina |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2017 |
| Last updated | Sep 10th, 2018 - about 8 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 | 1588173843 | NPPES |
| Ohio | MEDICAID | 0273737 |
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