Wiegand, Stewart E
Wiegand, Stewart E is an sole proprietor health care provider with primary practice located at 755 Mt Vernon Highway Suite 110, Atlanta GA 30328-4276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wiegand, Stewart E can be contacted via phone (404) 256-9692.Contact Information
Primary practice address
755 Mt Vernon Highway Suite 110
Atlanta GA 30328-4276
Phone: (404) 256-9692
Fax: (404) 256-9404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 012988 | Georgia |
Profile Details
| NPI number | 1477544138 |
|---|---|
| LBN Legal business name | Wiegand, Stewart E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 8th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477544138 | NPPES |
| Georgia | Other | CM5399 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00176481C | RAILROAD MEDICARE |
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