Weise, Marc W.

Weise, Marc W. is an sole proprietor health care provider with primary practice located at 2 James Way Suite 115, Pismo Beach CA 93449-4973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Weise, Marc W. can be contacted via phone (805) 773-2650.

Contact Information

Primary practice address
2 James Way Suite 115 Pismo Beach CA 93449-4973
Phone: (805) 773-2650
Fax: (805) 773-2655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A44223 California

Profile Details

NPI number 1609843499
LBN Legal business name Weise, Marc W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Jun 10th, 2010 - about 14 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 1609843499 NPPES
Other 611373100 USDL PIN
Other A44223 USDL PIN
Other 00A442230 USDL PIN
MEDICAID 00A442230 USDL PIN
Other 7941133 USDL PIN
Other 786185 USDL PIN

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