Mcquillen, Michael Wayne

Mcquillen, Michael Wayne is an individual health care provider with primary practice located at 4001 Kresge Way Suite 100, Louisville KY 40207-4640. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mcquillen, Michael Wayne can be contacted via phone (502) 897-6579.

Contact Information

Primary practice address
4001 Kresge Way Suite 100 Louisville KY 40207-4640
Phone: (502) 897-6579
Fax: (502) 897-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 39813 Kentucky
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 39813 Kentucky
Other Service Providers / Specialist 174400000X 39813 Kentucky

Profile Details

NPI number 1992763494
LBN Legal business name Mcquillen, Michael Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 9th, 2020 - about 5 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 1992763494 NPPES
Kentucky MEDICAID 64125750

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