Wichmann-Walczak, John Stanley

Wichmann-Walczak, John Stanley is an individual health care provider with primary practice located at 94-837 Waipahu St , Waipahu HI 96797-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wichmann-Walczak, John Stanley can be contacted via phone (808) 671-3911.

Contact Information

Primary practice address
94-837 Waipahu St Waipahu HI 96797-3320
Phone: (808) 671-3911
Fax: (808) 677-2720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD2647 Hawaii

Profile Details

NPI number 1356333736
LBN Legal business name Wichmann-Walczak, John Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 27th, 2018 - about 8 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 1356333736 NPPES
Hawaii MEDICAID 013771-03
Hawaii Other 00E001467-9
Hawaii Other 151218

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