Scandin, Michael John
Scandin, Michael John is an individual health care provider with primary practice located at 16 E Menard Plaza , Wausau WI 54401. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Scandin, Michael John can be contacted via phone (715) 845-2942.Contact Information
Primary practice address
16 E Menard Plaza
Wausau WI 54401
Phone: (715) 845-2942
Fax: (715) 842-3416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3841024 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 540039 | Wisconsin |
Profile Details
| NPI number | 1821048844 |
|---|---|
| LBN Legal business name | Scandin, Michael John |
| Credentials | PT LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 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 | 1821048844 | NPPES |
| Wisconsin | MEDICAID | 4180500 | |
| Wisconsin | Other | 29129 |
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