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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699776732 | NPPES |
| Texas | MEDICAID | 120521303 | |
| Texas | MEDICAID | 000G8915 | |
| Texas | Other | 87E200 |
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