Welt, Corrine Kolka
Welt, Corrine Kolka is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Welt, Corrine Kolka can be contacted via phone (801) 581-7763.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0100
Phone: (801) 581-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 9105746-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9105746-1205 | Utah |
Profile Details
| NPI number | 1619967817 |
|---|---|
| LBN Legal business name | Welt, Corrine Kolka |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619967817 | NPPES |
| Massachusetts | Other | J18150 | BCBS MA |
| Massachusetts | Other | 077337 | BCBS MA |
| Massachusetts | MEDICAID | 3172121 | BCBS MA |
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