Wiebke, Jennifer L

Wiebke, Jennifer L is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Wiebke, Jennifer L can be contacted via phone (757) 668-9466.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-9466
Fax: (757) 668-7198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 0101254409 Virginia
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 0101254409 Virginia

Profile Details

NPI number 1841398229
LBN Legal business name Wiebke, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 19th, 2019 - about 5 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 1841398229 NPPES
Louisiana MEDICAID 1801861
Louisiana MEDICAID 2655158
Louisiana MEDICAID 100177350

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