Wild, Michael John
Wild, Michael John is an sole proprietor health care provider with primary practice located at 4380 Main St , Amherst NY 14226-3544. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wild, Michael John can be contacted via phone (716) 839-8581.Contact Information
Primary practice address
4380 Main St
Amherst NY 14226-3544
Phone: (716) 839-8581
Fax: (716) 566-7858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 7952261 | New York |
Profile Details
| NPI number | 1710390562 |
|---|---|
| LBN Legal business name | Wild, Michael John |
| Credentials | MS, ATC, PES |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2014 |
| Last updated | Jun 10th, 2014 - about 11 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.
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