Wiedeman, Jean A

Wiedeman, Jean A is an individual health care provider with primary practice located at 2516 Stockton Blvd , Sacramento CA 95817-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Wiedeman, Jean A can be contacted via phone (916) 734-3557.

Contact Information

Primary practice address
2516 Stockton Blvd Sacramento CA 95817-2208
Phone: (916) 734-3557
Fax: (916) 734-7890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X C043137 California

Profile Details

NPI number 1144203423
LBN Legal business name Wiedeman, Jean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Nov 29th, 2011 - 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 1144203423 NPPES
California Other 00C0431370 MEDICAL#

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