Wirth, Michael

Wirth, Michael is an sole proprietor health care provider with primary practice located at 650 Hawkins Ave Ste 4, Lake Ronkonkoma NY 11779-2366. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wirth, Michael can be contacted via phone (631) 981-7422.

Contact Information

Primary practice address
650 Hawkins Ave Ste 4 Lake Ronkonkoma NY 11779-2366
Phone: (631) 981-7422
Fax: (631) 981-2490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 033990 New York

Profile Details

NPI number 1306180583
LBN Legal business name Wirth, Michael
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2012
Last updated Dec 6th, 2018 - about 7 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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