Carbullido, Mary Kristine
Carbullido, Mary Kristine is an individual health care provider with primary practice located at 749 University Row Ste 200 , Madison WI 53705-1465. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Carbullido, Mary Kristine can be contacted via phone (608) 263-6400.Contact Information
Primary practice address
749 University Row Ste 200
Madison WI 53705-1465
Phone: (608) 263-6400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | FC2728511 | Wisconsin |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1700466026 |
---|---|
LBN Legal business name | Carbullido, Mary Kristine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2021 |
Last updated | Jun 12th, 2023 - 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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