Wieczorek, Brian J

Wieczorek, Brian J is an individual health care provider with primary practice located at 1086 Franklin St Conemaugh Emergency Physicians Group, Johnstown PA 15905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wieczorek, Brian J can be contacted via phone (814) 534-9600.

Contact Information

Primary practice address
1086 Franklin St Conemaugh Emergency Physicians Group Johnstown PA 15905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD066165L Pennsylvania

Profile Details

NPI number 1558339820
LBN Legal business name Wieczorek, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 8th, 2013 - about 11 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 1558339820 NPPES
Pennsylvania MEDICAID 001722056

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