Kanishka, Wallie
Kanishka, Wallie is an sole proprietor health care provider with primary practice located at 25 Hitching Post Ln , Glen Cove NY 11542-1625. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Kanishka, Wallie can be contacted via phone (801) 918-4155.Contact Information
Primary practice address
25 Hitching Post Ln
Glen Cove NY 11542-1625
Phone: (801) 918-4155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1659045235 |
|---|---|
| LBN Legal business name | Kanishka, Wallie |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2021 |
| Last updated | Aug 5th, 2021 - about 4 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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