Michalski, Willard James
Michalski, Willard James is an sole proprietor health care provider with primary practice located at 112 Beech Street , Mankato MN 56001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Michalski, Willard James can be contacted via phone (507) 625-1589.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 22210 | Minnesota |
Profile Details
| NPI number | 1922087220 |
|---|---|
| LBN Legal business name | Michalski, Willard James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jul 30th, 2009 - about 17 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 | 1922087220 | NPPES |
| Other | 040008067 | RR MEDICARE | |
| Other | 115547 | RR MEDICARE | |
| Other | 1001399 | RR MEDICARE | |
| MEDICAID | 555882400 | RR MEDICARE | |
| Other | 767278 | RR MEDICARE | |
| Other | HP25854 | RR MEDICARE | |
| Other | 41461MI | RR MEDICARE | |
| Other | 928655 | RR MEDICARE | |
| Other | NA2951023845 | RR MEDICARE | |
| Other | 410849339 56001 C047 | RR MEDICARE |
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