King, Wendy L

King, Wendy L is an individual health care provider with primary practice located at 200 Health Park Drive , Owosso MI 48867. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. King, Wendy L can be contacted via phone (989) 723-8666.

Contact Information

Primary practice address
200 Health Park Drive Owosso MI 48867
Fax: (989) 725-1434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301074874 Michigan

Profile Details

NPI number 1508833724
LBN Legal business name King, Wendy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 22nd, 2011 - 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 1508833724 NPPES
Other 11-0-78-00631 BC OF MI
MEDICAID 440393310 BC OF MI

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