Wheeler, Lisa M
Wheeler, Lisa M is an individual health care provider with primary practice located at 3024 Niagara Falls Blvd Ste 116 , North Tonawanda NY 14120-1116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wheeler, Lisa M can be contacted via phone (716) 217-4321.Contact Information
Primary practice address
3024 Niagara Falls Blvd Ste 116
North Tonawanda NY 14120-1116
Phone: (716) 217-4321
Fax: (716) 219-2469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F304201 | New York |
Profile Details
NPI number | 1134305378 |
---|---|
LBN Legal business name | Wheeler, Lisa M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2008 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1134305378 | NPPES |
New York | Other | 000560977002 | BC/BS |
New York | MEDICAID | 02740985 | BC/BS |
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