Wall, Michael
Wall, Michael is an sole proprietor health care provider with primary practice located at Lindenhurst Middle School 350 South Wellwood Ave, Lindenhurst NY 11757. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as his primary health care specialty. Wall, Michael can be contacted via phone (631) 867-3510.Contact Information
Primary practice address
Lindenhurst Middle School 350 South Wellwood Ave
Lindenhurst NY 11757
Phone: (631) 867-3510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / School | 364SS0200X | 447785 | New York |
Profile Details
| NPI number | 1083300123 |
|---|---|
| LBN Legal business name | Wall, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2023 |
| Last updated | Apr 12th, 2023 - about last year |
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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