Slimack, Michael Josef

Slimack, Michael Josef is an sole proprietor health care provider with primary practice located at 7401 104Th Ave Suite 110, Kenosha WI 53142-7845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Slimack, Michael Josef can be contacted via phone (262) 764-5595.

Contact Information

Primary practice address
7401 104Th Ave Suite 110 Kenosha WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 58000956 Ohio
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 51760 Wisconsin

Profile Details

NPI number 1356558464
LBN Legal business name Slimack, Michael Josef
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Mar 18th, 2015 - about 10 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 1356558464 NPPES
Wisconsin MEDICAID 37580900

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