Wiggins, Michael

Wiggins, Michael is an individual health care provider with primary practice located at 1001 North St , Endicott NY 13760-5258. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wiggins, Michael can be contacted via phone (607) 748-8270.

Contact Information

Primary practice address
1001 North St Endicott NY 13760-5258
Phone: (607) 748-8270
Fax: (607) 748-7859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047823 New York

Profile Details

NPI number 1356521744
LBN Legal business name Wiggins, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Nov 14th, 2007 - about 19 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 1356521744 NPPES
New York MEDICAID 7897897897

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