Wilt, Jeffrey L

Wilt, Jeffrey L is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Wilt, Jeffrey L can be contacted via phone (269) 337-6300.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1282
Phone: (269) 337-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301052876 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301052876 Michigan

Profile Details

NPI number 1033226097
LBN Legal business name Wilt, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 2nd, 2010 - about 16 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 1033226097 NPPES
Michigan Other 0C97618 BCBS
Michigan Other 2904118571 BCBS
Michigan MEDICAID 1033226097 BCBS
Michigan MEDICAID 3161767 BCBS

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