Wynn, Michael L
Wynn, Michael L is an sole proprietor health care provider with primary practice located at 1655 Liberty St Se , Salem OR 97302-4347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wynn, Michael L can be contacted via phone (503) 581-7959.Contact Information
Primary practice address
1655 Liberty St Se
Salem OR 97302-4347
Phone: (503) 581-7959
Fax: (503) 362-4114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO15695 | Oregon |
Profile Details
| NPI number | 1750332516 |
|---|---|
| LBN Legal business name | Wynn, Michael L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jun 21st, 2016 - 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 | 1750332516 | NPPES |
| Oregon | MEDICAID | 203505 |
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