Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC003015L | PA |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | F10000198 | DE |
NPI | 1316901804 |
---|---|
Provider Name | Kristina Ann Hollstein |
First Address | Newark, DE 19713-2157 |
Second Address | Newark, DE 19713-2157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 08/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U01970 | (02) | DE |