Wanalista, David Michael

Wanalista, David Michael is an individual health care provider with primary practice located at 1206 W Sherman Ave Building 1, Vineland NJ 08360-6916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Wanalista, David Michael can be contacted via phone (856) 691-8444.

Contact Information

Primary practice address
1206 W Sherman Ave Building 1 Vineland NJ 08360-6916
Phone: (856) 691-8444
Fax: (856) 691-8325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 25MB07794500 New Jersey

Profile Details

NPI number 1497789077
LBN Legal business name Wanalista, David Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 23rd, 2010 - about 14 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 1497789077 NPPES
New Jersey MEDICAID 1965312

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