Wilmer, Christina Susanne
Wilmer, Christina Susanne is an individual health care provider with primary practice located at 2222 Bancroft Ext , Berkeley CA 94720-4303. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wilmer, Christina Susanne can be contacted via phone (510) 643-2020.Contact Information
Primary practice address
2222 Bancroft Ext
Berkeley CA 94720-4303
Phone: (510) 643-2020
Fax: (510) 642-9422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10667 TPG | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 483 | New Mexico |
Profile Details
| NPI number | 1073677613 |
|---|---|
| LBN Legal business name | Wilmer, Christina Susanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1073677613 | NPPES |
| New Mexico | Other | 483 | STATE LICENSE NUMBER |
| New Mexico | Other | 10667 TLG | STATE LICENSE NUMBER |
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