Wiedemer, Joseph P

Wiedemer, Joseph P is an individual health care provider with primary practice located at 1850 E Park Ave , State College PA 16803-6706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiedemer, Joseph P can be contacted via phone (814) 235-2480.

Contact Information

Primary practice address
1850 E Park Ave State College PA 16803-6706
Phone: (814) 235-2480
Fax: (814) 235-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD065285L Pennsylvania

Profile Details

NPI number 1689648438
LBN Legal business name Wiedemer, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Mar 28th, 2018 - about 7 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 1689648438 NPPES
New Jersey MEDICAID 7859104

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