Wilson, Michael C.

Wilson, Michael C. is an individual health care provider with primary practice located at 15728 Lorain Ave , Cleveland OH 44111-5542. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Michael C. can be contacted via phone (216) 252-6224.

Contact Information

Primary practice address
15728 Lorain Ave Cleveland OH 44111-5542
Fax: (216) 252-6234
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 03286 Ohio

Profile Details

NPI number 1811974074
LBN Legal business name Wilson, Michael C.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 25th, 2008 - about 16 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 1811974074 NPPES
Ohio MEDICAID 2803265

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