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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1134305378 NPPES
New York Other 000560977002 BC/BS
New York MEDICAID 02740985 BC/BS

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