Wenzler, Robert James

Wenzler, Robert James is an sole proprietor health care provider with primary practice located at 928 Goodman Rd E Suite D, Southaven MS 38671-8824. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Wenzler, Robert James can be contacted via phone (662) 470-4608.

Contact Information

Primary practice address
928 Goodman Rd E Suite D Southaven MS 38671-8824
Phone: (662) 470-4608
Fax: (662) 470-4610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM0000000655 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 80196 Mississippi

Profile Details

NPI number 1518999630
LBN Legal business name Wenzler, Robert James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 3rd, 2009 - about 15 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 1518999630 NPPES
Tennessee Other P00464002 MEDICARE ID TYPE UNSPECIFIED

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