Bielick Kotkowski, Christine Lynn

Bielick Kotkowski, Christine Lynn is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Bielick Kotkowski, Christine Lynn can be contacted via phone (508) 334-1975.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 250004 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 250004 Massachusetts

Profile Details

NPI number 1619103405
LBN Legal business name Bielick Kotkowski, Christine Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated May 29th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1619103405 NPPES
Massachusetts MEDICAID 110095463A

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