Wheeler, Clarence Joseph

Wheeler, Clarence Joseph is an individual health care provider with primary practice located at 1126 Slide Rd 4B, Lubbock TX 79416-5402. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Wheeler, Clarence Joseph can be contacted via phone (806) 793-8447.

Contact Information

Primary practice address
1126 Slide Rd 4B Lubbock TX 79416-5402
Phone: (806) 793-8447
Fax: (806) 687-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F7299 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X F7299 Texas

Profile Details

NPI number 1699776732
LBN Legal business name Wheeler, Clarence Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 14th, 2016 - about 8 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 1699776732 NPPES
Texas MEDICAID 120521303
Texas MEDICAID 000G8915
Texas Other 87E200

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