Walcott, Sean S

Walcott, Sean S is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Walcott, Sean S can be contacted via phone (313) 593-7000.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Phone: (313) 593-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301078051 Michigan

Profile Details

NPI number 1609854611
LBN Legal business name Walcott, Sean S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 2nd, 2013 - 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 1609854611 NPPES
Michigan MEDICAID 10-4631349
Michigan MEDICAID 10-4631385
Michigan MEDICAID 10-4710353
Michigan MEDICAID 10-4631394
Michigan MEDICAID 10-4710344
Michigan MEDICAID 10-4631376
Michigan Other 11311888
Michigan MEDICAID 10-4631358
Michigan MEDICAID 10-4710335

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