Wilson, Michael

Wilson, Michael is an individual health care provider with primary practice located at 612 N Andover Rd , Andover KS 67002-9778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Michael can be contacted via phone (316) 733-6618.

Contact Information

Primary practice address
612 N Andover Rd Andover KS 67002-9778
Phone: (316) 733-6618
Fax: (316) 733-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25289 Kansas

Profile Details

NPI number 1255340337
LBN Legal business name Wilson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2006
Last updated Jul 16th, 2007 - about 18 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 1255340337 NPPES
Kansas Other 2807 PHS
Kansas Other 041801 PHS
Kansas Other 100842 PHS
Kansas Other 16949 PHS
Kansas Other 11084898 PHS

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