Wells, Jed M

Wells, Jed M is an sole proprietor health care provider with primary practice located at 6828 Springfield Ave Suite 2, Laredo TX 78041-2286. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wells, Jed M can be contacted via phone (956) 726-9797.

Contact Information

Primary practice address
6828 Springfield Ave Suite 2 Laredo TX 78041-2286
Phone: (956) 726-9797
Fax: (956) 726-9965
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X TX1355 Texas

Profile Details

NPI number 1083612238
LBN Legal business name Wells, Jed M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jun 11th, 2015 - about 9 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 1083612238 NPPES
Texas MEDICAID 092738602

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