Wilcox, Michael J
Wilcox, Michael J is an individual health care provider with primary practice located at 55 W Tietan St , Walla Walla WA 99362-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilcox, Michael J can be contacted via phone (509) 525-3720.Contact Information
Primary practice address
55 W Tietan St
Walla Walla WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00034335 | Washington |
Profile Details
| NPI number | 1881668655 |
|---|---|
| LBN Legal business name | Wilcox, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Nov 27th, 2007 - 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 | 1881668655 | NPPES |
| Oregon | MEDICAID | 072954 | |
| Oregon | MEDICAID | 8195224 | |
| Oregon | Other | 110176 | |
| Oregon | Other | 110127377 |
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