Wash, David K

Wash, David K is an individual health care provider with primary practice located at 15565 Northland Dr Suite 108 E, Southfield MI 48075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wash, David K can be contacted via phone (248) 905-5470.

Contact Information

Primary practice address
15565 Northland Dr Suite 108 E Southfield MI 48075
Phone: (248) 905-5470
Fax: (248) 905-5472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301079200 Michigan

Profile Details

NPI number 1548211592
LBN Legal business name Wash, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548211592 NPPES
Michigan MEDICAID 104757538
Michigan MEDICAID 2338661

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