Wise, Loren M
Wise, Loren M is an individual health care provider with primary practice located at 5629 Stadium Dr Suite D, Kalamazoo MI 49009-1952. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wise, Loren M can be contacted via phone (269) 372-5701.Contact Information
Primary practice address
5629 Stadium Dr Suite D
Kalamazoo MI 49009-1952
Phone: (269) 372-5701
Fax: (269) 372-5702
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301078298 | Michigan |
Profile Details
NPI number | 1972573442 |
---|---|
LBN Legal business name | Wise, Loren M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Oct 10th, 2014 - about 11 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 | 1972573442 | NPPES |
Michigan | Other | CA4396 | RAILROAD MEDICARE |
Michigan | MEDICAID | 4635894 | RAILROAD MEDICARE |
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