Willoughby, Kristine

Willoughby, Kristine is an sole proprietor health care provider with primary practice located at 505 S 25Th St , South Bend IN 46615-2117. She recently has 2 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Transportation Services / Transportation Broker. Transportation Services / Transportation Broker is her primary health care specialty. Willoughby, Kristine can be contacted via phone (574) 217-5997.

Contact Information

Primary practice address
505 S 25Th St South Bend IN 46615-2117
Phone: (574) 217-5997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1326676024
LBN Legal business name Willoughby, Kristine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2020
Last updated Mar 29th, 2020 - about 6 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.

Request for update

Popular Providers