Wilkowski, Michael J.
Wilkowski, Michael J. is an individual health care provider with primary practice located at 937 S Main St , Farmville VA 23901-2211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilkowski, Michael J. can be contacted via phone (434) 414-3990.Contact Information
Primary practice address
937 S Main St
Farmville VA 23901-2211
Phone: (434) 414-3990
Fax: (434) 414-3970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101045495 | Virginia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 047680 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047680 | Georgia |
Profile Details
| NPI number | 1790744373 |
|---|---|
| LBN Legal business name | Wilkowski, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jan 4th, 2022 - about 4 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 | 1790744373 | NPPES |
| South Carolina | MEDICAID | G47680 | |
| South Carolina | MEDICAID | 000839176N | |
| South Carolina | MEDICAID | 501727676 |
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