Garcia, Michael J

Garcia, Michael J is an sole proprietor health care provider with primary practice located at 907 Cambridge Dr , Janesville WI 53548-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Garcia, Michael J can be contacted via phone (608) 758-8976.

Contact Information

Primary practice address
907 Cambridge Dr Janesville WI 53548-6707
Phone: (608) 758-8976
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43102 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-047663 Illinois

Profile Details

NPI number 1396820676
LBN Legal business name Garcia, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Aug 20th, 2012 - about 12 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 1396820676 NPPES
Illinois MEDICAID 036047663 3
Illinois MEDICAID 34085400

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