Wucinich, Michael Kenneth
Wucinich, Michael Kenneth is an individual health care provider with primary practice located at 775 Pole Line Rd W Ste 302 , Twin Falls ID 83301-5823. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wucinich, Michael Kenneth can be contacted via phone (208) 814-8725.Contact Information
Primary practice address
775 Pole Line Rd W Ste 302
Twin Falls ID 83301-5823
Phone: (208) 814-8725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1274 | Idaho |
Profile Details
| NPI number | 1407223274 |
|---|---|
| LBN Legal business name | Wucinich, Michael Kenneth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Nov 19th, 2015 - about 10 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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