Michalak, Victor Roman
Michalak, Victor Roman is an individual health care provider with primary practice located at 295 Ne Gilman Blvd Suite 101, Issaquah WA 98027-2906. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Michalak, Victor Roman can be contacted via phone (425) 391-2500.Contact Information
Primary practice address
295 Ne Gilman Blvd Suite 101
Issaquah WA 98027-2906
Phone: (425) 391-2500
Fax: (425) 391-6464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00024607 | Washington |
Profile Details
| NPI number | 1922050616 |
|---|---|
| LBN Legal business name | Michalak, Victor Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922050616 | NPPES |
| Washington | MEDICAID | 1063817 |
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