Koger, O'Neal Wilson

Koger, O'Neal Wilson is an sole proprietor health care provider with primary practice located at 30301 Woodward Ave 120, Royal Oak MI 48302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Koger, O'Neal Wilson can be contacted via phone (248) 435-6622.

Contact Information

Primary practice address
30301 Woodward Ave 120 Royal Oak MI 48302
Phone: (248) 435-6622
Fax: (248) 435-7453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301053536 Michigan

Profile Details

NPI number 1962599530
LBN Legal business name Koger, O'Neal Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Apr 23rd, 2014 - about 12 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 1962599530 NPPES
Michigan Other P67011 OLD BCN
Michigan Other 0706328251 OLD BCN
Michigan MEDICAID 3361759 OLD BCN
Michigan Other 070012496 OLD BCN
Michigan Other 632825 OLD BCN
Michigan Other 9679933 OLD BCN
Michigan Other S38359 OLD BCN
Michigan Other 4113337 OLD BCN
Michigan Other 070F37332 OLD BCN

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