Walcott, Wayne Eugene
Walcott, Wayne Eugene is an individual health care provider with primary practice located at 1910 Packard St , Ann Arbor MI 48104-4734. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walcott, Wayne Eugene can be contacted via phone (734) 994-3700.Contact Information
Primary practice address
1910 Packard St
Ann Arbor MI 48104-4734
Phone: (734) 994-3700
Fax: (734) 994-3704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11148 | Michigan |
Profile Details
| NPI number | 1033177027 |
|---|---|
| LBN Legal business name | Walcott, Wayne Eugene |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033177027 | NPPES |
| Michigan | MEDICAID | 1533980 |
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