Wiebe, Eric Mark

Wiebe, Eric Mark is an individual health care provider with primary practice located at 3911 Avenue B Suite 1100, Scottsbluff NE 69361-4617. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Wiebe, Eric Mark can be contacted via phone (308) 630-2101.

Contact Information

Primary practice address
3911 Avenue B Suite 1100 Scottsbluff NE 69361-4617
Phone: (308) 630-2101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19880 Nebraska
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 19880 Nebraska

Profile Details

NPI number 1477561512
LBN Legal business name Wiebe, Eric Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 20th, 2012 - about 13 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 1477561512 NPPES
Other 110111372 PALMENTO GBA RR MEDICARE

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