Wiater, J Michael
Wiater, J Michael is an sole proprietor health care provider with primary practice located at 17877 W 14 Mile Rd , Beverly Hills MI 48025-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wiater, J Michael can be contacted via phone (248) 644-3920.Contact Information
Primary practice address
17877 W 14 Mile Rd
Beverly Hills MI 48025-3127
Phone: (248) 644-3920
Fax: (248) 644-2569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301061840 | Michigan |
Profile Details
NPI number | 1043292964 |
---|---|
LBN Legal business name | Wiater, J Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 16th, 2005 |
Last updated | Jul 22nd, 2022 - about 2 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 | 1043292964 | NPPES |
Michigan | MEDICAID | 4096126 |
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