Wiedmeyer, Michael James
Wiedmeyer, Michael James is an individual health care provider with primary practice located at 820 Decker Dr , West Bend WI 53090-2341. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Wiedmeyer, Michael James can be contacted via phone (262) 306-9815.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 33507-031 | Wisconsin |
Profile Details
| NPI number | 1013975150 |
|---|---|
| LBN Legal business name | Wiedmeyer, Michael James |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013975150 | NPPES |
| Wisconsin | MEDICAID | 38335700 |
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