Wilgus, Carrie Lynn
Wilgus, Carrie Lynn is an sole proprietor health care provider with primary practice located at 300 Meadow Run Drive , Hastings MI 49058. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wilgus, Carrie Lynn can be contacted via phone (269) 818-1020.Contact Information
Primary practice address
300 Meadow Run Drive
Hastings MI 49058
Phone: (269) 818-1020
Fax: (269) 818-1266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301073703 | Michigan |
Profile Details
| NPI number | 1174586978 |
|---|---|
| LBN Legal business name | Wilgus, Carrie Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Dec 13th, 2017 - about 9 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 | 1174586978 | NPPES |
| Michigan | Other | 3500800182 | BCBS |
| Michigan | MEDICAID | 4123869 | BCBS |
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