Wood, Krystle M
Wood, Krystle M is an individual health care provider with primary practice located at 211 N 12Th St , Lehighton PA 18235-1138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wood, Krystle M can be contacted via phone (610) 377-7174.Contact Information
Primary practice address
211 N 12Th St
Lehighton PA 18235-1138
Phone: (610) 377-7174
Fax: (610) 377-4785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA055903 | Pennsylvania |
Profile Details
| NPI number | 1174861116 |
|---|---|
| LBN Legal business name | Wood, Krystle M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2013 |
| Last updated | Jul 27th, 2016 - about 10 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 | 1174861116 | NPPES |
| Pennsylvania | Other | MA055903 | MEDICAL LICENCE |
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