Wilfley, William A

Wilfley, William A is an individual health care provider with primary practice located at 2400 Pine Ridge Blvd , Wausau WI 54401-7803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilfley, William A can be contacted via phone (715) 847-2022.

Contact Information

Primary practice address
2400 Pine Ridge Blvd Wausau WI 54401-7803
Phone: (715) 847-2022
Fax: (715) 843-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00044986 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X 60454 Wisconsin

Profile Details

NPI number 1619997046
LBN Legal business name Wilfley, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 1st, 2014 - about 12 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 1619997046 NPPES
Washington MEDICAID 8427437
Washington MEDICAID 241389
Washington Other 8943482
Washington Other 217046
Washington MEDICAID 100031344
Washington Other P00380119

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