Minehart, Michael W

Minehart, Michael W is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Minehart, Michael W can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904-7668
Phone: (920) 303-8700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 054040 Wisconsin

Profile Details

NPI number 1982641163
LBN Legal business name Minehart, Michael W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 22nd, 2018 - about 6 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 1982641163 NPPES
Wisconsin Other 2130123001 UHC MA DIAMOND PROV #
Wisconsin Other 54040 UHC MA DIAMOND PROV #
Wisconsin Other P00141683 UHC MA DIAMOND PROV #
Wisconsin MEDICAID 44352600 UHC MA DIAMOND PROV #

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