Wachowiak, Wilma Lynne

Wachowiak, Wilma Lynne is an individual health care provider with primary practice located at 3344 Presson Rd , Monroe NC 28112-9140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wachowiak, Wilma Lynne can be contacted via phone (704) 292-2749.

Contact Information

Primary practice address
3344 Presson Rd Monroe NC 28112-9140
Phone: (704) 292-2749
Fax: (704) 292-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 49418 North Carolina

Profile Details

NPI number 1982620423
LBN Legal business name Wachowiak, Wilma Lynne
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated May 11th, 2009 - about 15 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 1982620423 NPPES
South Carolina MEDICAID NPA699

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