Wiggins, Shawn M
Wiggins, Shawn M is an individual health care provider with primary practice located at Two Hurley Plaza Suite 204, Flint MI 48503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wiggins, Shawn M can be contacted via phone (810) 262-6743.Contact Information
Primary practice address
Two Hurley Plaza Suite 204
Flint MI 48503
Phone: (810) 262-6743
Fax: (810) 235-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301072235 | Michigan |
Profile Details
| NPI number | 1376691147 |
|---|---|
| LBN Legal business name | Wiggins, Shawn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Aug 6th, 2013 - about 12 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 | 1376691147 | NPPES |
| Michigan | MEDICAID | 4455439 | |
| Michigan | Other | M32030078 | |
| Michigan | Other | 70-0-B5-1070-0 |
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