Wesely, Andrew C

Wesely, Andrew C is an sole proprietor health care provider with primary practice located at 605 Sierra Rose Dr Suite 4, Reno NV 89511-2060. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Other Service Providers / Specialist is his primary health care specialty. Wesely, Andrew C can be contacted via phone (775) 689-5410.

Contact Information

Primary practice address
605 Sierra Rose Dr Suite 4 Reno NV 89511-2060
Phone: (775) 689-5410
Fax: (775) 689-5431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7129 Nevada
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 7129 Nevada

Profile Details

NPI number 1689605545
LBN Legal business name Wesely, Andrew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jan 23rd, 2024 - about 11 months 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 1689605545 NPPES
Nevada Other CC9383 BLUE CROSS BLUE SHIELD
Nevada Other 050057655 BLUE CROSS BLUE SHIELD
Nevada MEDICAID 2016530 BLUE CROSS BLUE SHIELD

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