Chamberlain, Christina Wallis

Chamberlain, Christina Wallis is an sole proprietor health care provider with primary practice located at 5955 Ponce De Leon Blvd , Coral Gables FL 33146-2423. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Chamberlain, Christina Wallis can be contacted via phone (305) 661-1515.

Contact Information

Primary practice address
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423
Phone: (305) 661-1515
Fax: (305) 662-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L2179 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X RS2004-0628 New Mexico
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X L2179 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME138065 Florida

Profile Details

NPI number 1407891930
LBN Legal business name Chamberlain, Christina Wallis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Dec 6th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407891930 NPPES
Texas MEDICAID 143487002
Texas MEDICAID 143487004
Texas MEDICAID 143487003
Texas MEDICAID 143487001

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