Wack, Michael A
Wack, Michael A is an individual health care provider with primary practice located at 46 Fairview Ave Ste 113 , Skowhegan ME 04976-1481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wack, Michael A can be contacted via phone (207) 474-3697.Contact Information
Primary practice address
46 Fairview Ave Ste 113
Skowhegan ME 04976-1481
Phone: (207) 474-3697
Fax: (207) 474-6355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 151740 | Massachusetts |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD26916 | Maine |
Profile Details
| NPI number | 1043294077 |
|---|---|
| LBN Legal business name | Wack, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043294077 | NPPES |
| Massachusetts | MEDICAID | 3157733 |
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