Wydila, Michael

Wydila, Michael is an individual health care provider with primary practice located at 1400 Philadelphia Pike Suite A6, Wilmington DE 19809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Wydila, Michael can be contacted via phone (302) 798-8070.

Contact Information

Primary practice address
1400 Philadelphia Pike Suite A6 Wilmington DE 19809
Phone: (302) 798-8070
Fax: (302) 798-5902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X C10005759 Delaware

Profile Details

NPI number 1760495097
LBN Legal business name Wydila, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1760495097 NPPES
Other 2625833000 KEYSTONE
Other 4620757 KEYSTONE
MEDICAID 1000024676 KEYSTONE

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