Wuellner, Kathie R.
Wuellner, Kathie R. is an individual health care provider with primary practice located at 4 Memorial Dr. Ste 110, Alton IL 62002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wuellner, Kathie R. can be contacted via phone (618) 474-1711.Contact Information
Primary practice address
4 Memorial Dr. Ste 110
Alton IL 62002
Phone: (618) 474-1711
Fax: (618) 474-2793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-059452 | Illinois |
Profile Details
| NPI number | 1962537332 |
|---|---|
| LBN Legal business name | Wuellner, Kathie R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 30th, 2018 - about 8 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 | 1962537332 | NPPES |
| Illinois | MEDICAID | 036059452 |
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