Wieck, Joseph A

Wieck, Joseph A is an individual health care provider with primary practice located at 25 Doctor Drive Medical Plaza 2, Panama City FL 32405-4520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wieck, Joseph A can be contacted via phone (850) 767-2455.

Contact Information

Primary practice address
25 Doctor Drive Medical Plaza 2 Panama City FL 32405-4520
Phone: (850) 767-2455
Fax: (850) 767-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME143674 Florida

Profile Details

NPI number 1750354221
LBN Legal business name Wieck, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 30th, 2021 - 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 1750354221 NPPES
Tennessee Other 193771 BCBS
Tennessee MEDICAID 3083053 BCBS

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