Quist, Carolyn Wilson
Quist, Carolyn Wilson is an sole proprietor health care provider with primary practice located at 1425 8Th Avenue , Fort Worth TX 76104-4141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Quist, Carolyn Wilson can be contacted via phone (817) 926-1313.Contact Information
Primary practice address
1425 8Th Avenue
Fort Worth TX 76104-4141
Phone: (817) 926-1313
Fax: (817) 926-7434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | H2705 | Texas |
Profile Details
| NPI number | 1649272972 |
|---|---|
| LBN Legal business name | Quist, Carolyn Wilson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Mar 25th, 2011 - about 15 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 | 1649272972 | NPPES |
| Texas | MEDICAID | 125509305 |
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