Wennen, William W
Wennen, William W is an sole proprietor health care provider with primary practice located at 1275 Sadler Way Suite 200, Fairbanks AK 99701-3171. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wennen, William W can be contacted via phone (907) 451-8775.Contact Information
Primary practice address
1275 Sadler Way Suite 200
Fairbanks AK 99701-3171
Phone: (907) 451-8775
Fax: (907) 451-7716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AA1264 | Alaska |
Profile Details
| NPI number | 1992817241 |
|---|---|
| LBN Legal business name | Wennen, William W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 10th, 2007 - about 19 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 | 1992817241 | NPPES |
| Alaska | MEDICAID | MD1264 |
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