Wilkinson, Khase A
Wilkinson, Khase A is an individual health care provider with primary practice located at 715 S Coy Rd , Oregon OH 43616-3007. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wilkinson, Khase A can be contacted via phone (419) 693-4171.Contact Information
Primary practice address
715 S Coy Rd
Oregon OH 43616-3007
Phone: (419) 693-4171
Fax: (419) 693-6863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 3291 | Ohio |
Profile Details
| NPI number | 1235139551 |
|---|---|
| LBN Legal business name | Wilkinson, Khase A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235139551 | NPPES |
| Ohio | Other | P00157654 | RR MEDICARE |
| Ohio | MEDICAID | 2517664 | RR MEDICARE |
| Ohio | Other | CA3437 | RR MEDICARE |
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