Wayne, Mitchell S
Wayne, Mitchell S is an individual health care provider with primary practice located at 7001 Orchard Lake Rd Suite 230B, West Bloomfield MI 48322-3604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Wayne, Mitchell S can be contacted via phone (248) 855-3232.Contact Information
Primary practice address
7001 Orchard Lake Rd Suite 230B
West Bloomfield MI 48322-3604
Phone: (248) 855-3232
Fax: (248) 855-3232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 5901400097 | Michigan |
Profile Details
| NPI number | 1437121746 |
|---|---|
| LBN Legal business name | Wayne, Mitchell S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jan 8th, 2008 - about 18 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 | 1437121746 | NPPES |
| Michigan | Other | T34163 | HAP |
| Michigan | Other | 000000012402 | HAP |
| Michigan | Other | 10105530003 | HAP |
| Michigan | Other | 506728 | HAP |
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