Woodward, Kristina Stasko
Woodward, Kristina Stasko is an individual health care provider with primary practice located at 1234 Cherry St , San Carlos CA 94070-3110. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Woodward, Kristina Stasko can be contacted via phone (560) 593-1661.Contact Information
Primary practice address
1234 Cherry St
San Carlos CA 94070-3110
Phone: (560) 593-1661
Fax: (650) 595-5203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8031T | California |
Profile Details
| NPI number | 1447231089 |
|---|---|
| LBN Legal business name | Woodward, Kristina Stasko |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447231089 | NPPES |
| California | MEDICAID | YYY48725Y | |
| California | Other | 1238570001 |
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