Kirk, Carissa Nicolette
Kirk, Carissa Nicolette is an individual health care provider with primary practice located at 5540 Raphael Dr , Edinburg TX 78539-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Kirk, Carissa Nicolette can be contacted via phone (956) 362-6683.Contact Information
Primary practice address
5540 Raphael Dr
Edinburg TX 78539-1407
Phone: (956) 362-6683
Fax: (956) 362-6818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20745 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 67668 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 76270 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 254863 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | P7296 | Texas |
Profile Details
| NPI number | 1801003959 |
|---|---|
| LBN Legal business name | Kirk, Carissa Nicolette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | May 8th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801003959 | NPPES |
| Texas | MEDICAID | 333634902 | |
| Texas | MEDICAID | 1801003959 |
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