Wukelic, Michael S

Wukelic, Michael S is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wukelic, Michael S can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
400 E 5Th Ave Spokane WA 99202-1334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00024216 Washington

Profile Details

NPI number 1477546554
LBN Legal business name Wukelic, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477546554 NPPES
Washington MEDICAID 8130064

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