Wegman, Theresa Marie
Wegman, Theresa Marie is an individual health care provider with primary practice located at 24 Carrow St , Orchard Park NY 14127-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Wegman, Theresa Marie can be contacted via phone (716) 662-3443.Contact Information
Primary practice address
24 Carrow St
Orchard Park NY 14127-2604
Phone: (716) 662-3443
Fax: (716) 972-0374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 204233 | New York |
Profile Details
| NPI number | 1437117553 |
|---|---|
| LBN Legal business name | Wegman, Theresa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 26th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437117553 | NPPES |
| New York | MEDICAID | 01924689 | |
| New York | Other | 00020530902 | |
| New York | Other | 000525566002 | |
| New York | Other | 1210624 |
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