Wisser, Michael R
Wisser, Michael R is an individual health care provider with primary practice located at 145 Brinton Lake Rd First Floor, Glen Mills PA 19342-2281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wisser, Michael R can be contacted via phone (610) 459-1619.Contact Information
Primary practice address
145 Brinton Lake Rd First Floor
Glen Mills PA 19342-2281
Phone: (610) 459-1619
Fax: (610) 459-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS009968L | Pennsylvania |
Profile Details
| NPI number | 1386676617 |
|---|---|
| LBN Legal business name | Wisser, Michael R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 31st, 2015 - about 9 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 | 1386676617 | NPPES |
| Pennsylvania | MEDICAID | 0017882270001 |
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