Wiltchik, Kerri S

Wiltchik, Kerri S is an individual health care provider with primary practice located at 220 South Palisade Drive Suite 201, Santa Maria CA 93454-8903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Wiltchik, Kerri S can be contacted via phone (805) 347-2100.

Contact Information

Primary practice address
220 South Palisade Drive Suite 201 Santa Maria CA 93454-8903
Fax: (805) 347-2114
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X A55973 California

Profile Details

NPI number 1043203730
LBN Legal business name Wiltchik, Kerri S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Oct 23rd, 2015 - about 9 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 1043203730 NPPES
California Other CB219807 MEDICARE ID
California MEDICAID 00A559730 MEDICARE ID

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