Wakim, Georges

Wakim, Georges is an sole proprietor health care provider with primary practice located at 3811 Spring St. Suite 102, Racine WI 53405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wakim, Georges can be contacted via phone (262) 687-5838.

Contact Information

Primary practice address
3811 Spring St. Suite 102 Racine WI 53405
Fax: (262) 687-5895
Website:

Health care specialties

Profile Details

NPI number 1790102986
LBN Legal business name Wakim, Georges
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2014
Last updated Mar 25th, 2014 - about 11 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 1790102986 NPPES
Wisconsin Other 1317-39 STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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