Wixom, Michael Matthew

Wixom, Michael Matthew is an individual health care provider with primary practice located at Psc 80 Box 20878 , Apo AP 96367-0093. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Wixom, Michael Matthew can be contacted via phone (319) 208-7818.

Contact Information

Primary practice address

Psc 80 Box 20878 Apo AP 96367-0093

Phone: (319) 208-7818

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Other Service Providers / Independent Duty Medical Technicians	1710I1003X

Profile Details

NPI number	1942536024
LBN Legal business name	Wixom, Michael Matthew
Credentials	IDMT
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 26th, 2009
Last updated	May 5th, 2011 - about 13 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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