Vissing, Michael D.

Vissing, Michael D. is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 205 , Louisville KY 40207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vissing, Michael D. can be contacted via phone (502) 899-6170.

Contact Information

Primary practice address
3991 Dutchmans Ln Ste 205 Louisville KY 40207
Phone: (502) 899-6170
Fax: (502) 899-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA063 Kentucky

Profile Details

NPI number 1831198415
LBN Legal business name Vissing, Michael D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 29th, 2020 - about 6 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 1831198415 NPPES
Kentucky MEDICAID 95000634

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