Wilt, Jeffrey L
Wilt, Jeffrey L is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Wilt, Jeffrey L can be contacted via phone (269) 337-6300.Contact Information
Primary practice address
1000 Oakland Dr
Kalamazoo MI 49008-1282
Phone: (269) 337-6300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 4301052876 | Michigan |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4301052876 | Michigan |
Profile Details
NPI number | 1033226097 |
---|---|
LBN Legal business name | Wilt, Jeffrey L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2006 |
Last updated | Apr 2nd, 2010 - about 14 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 | 1033226097 | NPPES |
Michigan | Other | 0C97618 | BCBS |
Michigan | Other | 2904118571 | BCBS |
Michigan | MEDICAID | 1033226097 | BCBS |
Michigan | MEDICAID | 3161767 | BCBS |
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