Zack, Kristen Marie

Zack, Kristen Marie is an sole proprietor health care provider with primary practice located at 601 Gateway Blvd N , Chesterton IN 46304-9658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Zack, Kristen Marie can be contacted via phone (219) 921-1444.

Contact Information

Primary practice address
601 Gateway Blvd N Chesterton IN 46304-9658
Fax: (219) 921-5303
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10001990A Indiana

Profile Details

NPI number 1689056376
LBN Legal business name Zack, Kristen Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2015
Last updated Apr 17th, 2024 - about 2 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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