Wahl, Michael J

Wahl, Michael J is an individual health care provider with primary practice located at 109 Technology Drive Suite A, Butler PA 16001-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wahl, Michael J can be contacted via phone (724) 431-0300.

Contact Information

Primary practice address
109 Technology Drive Suite A Butler PA 16001-1785
Fax: (724) 431-0301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD056807L Pennsylvania

Profile Details

NPI number 1265423404
LBN Legal business name Wahl, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 15th, 2010 - about 14 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 1265423404 NPPES
Pennsylvania MEDICAID 0018414400004

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