Wick, Christopher Fredolin

Wick, Christopher Fredolin is an individual health care provider with primary practice located at 4910A Ne 81St St , Kansas City MO 64119-8400. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wick, Christopher Fredolin can be contacted via phone (816) 420-9070.

Contact Information

Primary practice address
4910A Ne 81St St Kansas City MO 64119-8400
Phone: (816) 420-9070
Fax: (816) 420-9052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2004015365 Missouri

Profile Details

NPI number 1760469266
LBN Legal business name Wick, Christopher Fredolin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Nov 1st, 2011 - about 13 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 1760469266 NPPES
Missouri MEDICAID 407174200

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