Wise, Cristin Louise

Wise, Cristin Louise is an individual health care provider with primary practice located at 3914 Centreville Rd Ste 101 , Chantilly VA 20151-3289. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wise, Cristin Louise can be contacted via phone (703) 481-8600.

Contact Information

Primary practice address
3914 Centreville Rd Ste 101 Chantilly VA 20151-3289
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013-01121 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RTP001917 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101251377 Virginia

Profile Details

NPI number 1881715746
LBN Legal business name Wise, Cristin Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 26th, 2019 - about 6 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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