Wallick, Kristin

Wallick, Kristin is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 300, Fort Collins CO 80528-3400. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Wallick, Kristin can be contacted via phone (970) 224-9102.

Contact Information

Primary practice address
2121 E Harmony Rd Ste 300 Fort Collins CO 80528-3400
Phone: (970) 224-9102
Fax: (970) 224-9112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DR.0037197 Colorado
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DR.0037197 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0037197 Colorado

Profile Details

NPI number 1356311203
LBN Legal business name Wallick, Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 16th, 2016 - about 8 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 1356311203 NPPES
Wyoming MEDICAID 119016400
Wyoming MEDICAID 36659231
Wyoming Other P00031437

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