Richwine, Kristin Nicole

Richwine, Kristin Nicole is an individual health care provider with primary practice located at 8316 Medical Plaza Dr Ste E , Charlotte NC 28262-6704. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Richwine, Kristin Nicole can be contacted via phone (704) 547-1551.

Contact Information

Primary practice address
8316 Medical Plaza Dr Ste E Charlotte NC 28262-6704
Phone: (704) 547-1551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1774 North Carolina

Profile Details

NPI number 1639139397
LBN Legal business name Richwine, Kristin Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 6th, 2008 - about 16 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 1639139397 NPPES
North Carolina Other 093KT BCBS
North Carolina MEDICAID 89093KT BCBS

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