Wieder, Donald

Wieder, Donald is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-2019. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wieder, Donald can be contacted via phone (570) 214-9585.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-2019
Phone: (570) 214-9585
Fax: (570) 214-9519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA057830 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA057830 Pennsylvania

Profile Details

NPI number 1194195743
LBN Legal business name Wieder, Donald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2015
Last updated Mar 9th, 2016 - about 8 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 1194195743 NPPES
Pennsylvania Other WI466658 MEDICARE

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