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Contact Information

KRISTINE WILLOUGHBY
505 S 25TH ST
SOUTH BEND, IN46615-2117
 Phone: 574-217-5997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for KRISTINE WILLOUGHBY · (Female)

NPI Number 1326676024
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2020
Last updated 03/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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