Wakin, Michael

Wakin, Michael is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wakin, Michael can be contacted via phone (253) 426-6341.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Fax: (253) 426-6344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP60854908 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10053712 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OP60854908 Washington

Profile Details

NPI number 1477914208
LBN Legal business name Wakin, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2016
Last updated Oct 17th, 2023 - about 2 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 1477914208 NPPES
Washington MEDICAID 2108953

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