Wilks, Michelle

Wilks, Michelle is an individual health care provider with primary practice located at 65 James St , Edison NJ 08820-3947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wilks, Michelle can be contacted via phone (732) 321-7493.

Contact Information

Primary practice address
65 James St Edison NJ 08820-3947
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07462400 New Jersey

Profile Details

NPI number 1689737082
LBN Legal business name Wilks, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689737082 NPPES
New Jersey Other 60009297 HORIZON NJ HEALTH
New Jersey Other 7332601 HORIZON NJ HEALTH
New Jersey MEDICAID 0043079 HORIZON NJ HEALTH
New Jersey Other 2446864 HORIZON NJ HEALTH

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