Arizola, Michael D

Arizola, Michael D is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Arizola, Michael D can be contacted via phone (920) 730-7690.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915
Phone: (920) 730-7690
Fax: (920) 730-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1526 Wisconsin

Profile Details

NPI number 1639163652
LBN Legal business name Arizola, Michael D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 17th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639163652 NPPES
Wisconsin MEDICAID 41964900

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