Wunderlich, Colleen Ann
Wunderlich, Colleen Ann is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 410 , Columbia SC 29203-6859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Wunderlich, Colleen Ann can be contacted via phone (803) 434-7995.Contact Information
Primary practice address
9 Richland Medical Park Dr Ste 410
Columbia SC 29203-6859
Phone: (803) 434-7995
Fax: (803) 434-8686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2007-00969 | North Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 46317 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 2007-00969 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 0101238304 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | 40616 | South Carolina |
Profile Details
| NPI number | 1689702698 |
|---|---|
| LBN Legal business name | Wunderlich, Colleen Ann |
| Credentials | M.D., MSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 6th, 2020 - about 5 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 | 1689702698 | NPPES |
| North Carolina | MEDICAID | 5907606 | |
| North Carolina | MEDICAID | N69007 | |
| North Carolina | Other | 1458X |
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