Wiater, Jerome P

Wiater, Jerome P is an sole proprietor health care provider with primary practice located at 17877 W 14 Mile Rd , Beverly Hills MI 48025-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wiater, Jerome P can be contacted via phone (248) 644-3920.

Contact Information

Primary practice address
17877 W 14 Mile Rd Beverly Hills MI 48025-3127
Phone: (248) 644-3920
Fax: (248) 644-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301028424 Michigan

Profile Details

NPI number 1326020256
LBN Legal business name Wiater, Jerome P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Dec 23rd, 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 1326020256 NPPES
Michigan MEDICAID 1358914

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