Wallman, Carol M

Wallman, Carol M is an individual health care provider with primary practice located at 4747 Arapahoe Ave , Boulder CO 80303-1133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Wallman, Carol M can be contacted via phone (720) 854-7152.

Contact Information

Primary practice address
4747 Arapahoe Ave Boulder CO 80303-1133
Fax: (720) 854-7114
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0637 Colorado

Profile Details

NPI number 1548248008
LBN Legal business name Wallman, Carol M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 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 1548248008 NPPES
Colorado MEDICAID 94271542

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