Wanless, Michael Andrew
Wanless, Michael Andrew is an sole proprietor health care provider with primary practice located at 2220 Sunset Blvd , Rocklin CA 95765-4270. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wanless, Michael Andrew can be contacted via phone (916) 789-0807.Contact Information
Primary practice address
2220 Sunset Blvd
Rocklin CA 95765-4270
Phone: (916) 789-0807
Fax: (916) 789-0809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH53843 | California |
Profile Details
| NPI number | 1154525483 |
|---|---|
| LBN Legal business name | Wanless, Michael Andrew |
| Credentials | PHARM. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154525483 | NPPES |
| California | Other | RPH53843 | RPH LICENSE |
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