Wisniewski, Michael S
Wisniewski, Michael S is an individual health care provider with primary practice located at 8300 W 38Th Ave , Wheat Ridge CO 80033-6005. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Wisniewski, Michael S can be contacted via phone (866) 899-7136.Contact Information
Primary practice address
8300 W 38Th Ave
Wheat Ridge CO 80033-6005
Phone: (866) 899-7136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 1353 | Colorado |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 46076 | Colorado |
Profile Details
| NPI number | 1346452414 |
|---|---|
| LBN Legal business name | Wisniewski, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Nov 12th, 2008 - about 17 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 | 1346452414 | NPPES |
| Colorado | MEDICAID | 67372279 |
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