Walchak, Eric Thomas

Walchak, Eric Thomas is an individual health care provider with primary practice located at 2122 Health Dr Sw , Wyoming MI 49519-9698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Walchak, Eric Thomas can be contacted via phone (616) 252-5950.

Contact Information

Primary practice address
2122 Health Dr Sw Wyoming MI 49519-9698
Fax: (616) 252-5956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101013546 Michigan

Profile Details

NPI number 1962493395
LBN Legal business name Walchak, Eric Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 17th, 2017 - about 8 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 1962493395 NPPES
Michigan MEDICAID 4618795
Michigan Other 5101013546
Michigan Other EW013546
Michigan Other P00145080

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