Wank, Micheal D
Wank, Micheal D is an individual health care provider with primary practice located at 2111 Midlands Ct , Sycamore IL 60178-3125. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wank, Micheal D can be contacted via phone (815) 758-0000.Contact Information
Primary practice address
2111 Midlands Ct
Sycamore IL 60178-3125
Phone: (815) 758-0000
Fax: (815) 756-7130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10000909A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085-003083 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085003083 | Illinois |
Profile Details
NPI number | 1194887240 |
---|---|
LBN Legal business name | Wank, Micheal D |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2006 |
Last updated | Dec 1st, 2020 - about 4 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 | 1194887240 | NPPES |
Indiana | Other | 000000513306 | ANTHEM |
Indiana | Other | 035958001 | ANTHEM |
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