Wiegand, Timothy J
Wiegand, Timothy J is an individual health care provider with primary practice located at 601 Elmwood Ave Box 655, Rochester NY 14642-8655. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Medical Toxicology is his primary health care specialty. Wiegand, Timothy J can be contacted via phone (585) 275-9555.Contact Information
Primary practice address
601 Elmwood Ave Box 655
Rochester NY 14642-8655
Phone: (585) 275-9555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 017860 | Maine |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A88509 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 017860 | Maine |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 017860 | Maine |
Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 258256 | New York |
Profile Details
NPI number | 1467566398 |
---|---|
LBN Legal business name | Wiegand, Timothy J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | Jul 6th, 2023 - about last year |
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 | 1467566398 | NPPES |
New Hampshire | MEDICAID | 30207895 | |
New Hampshire | MEDICAID | 432977599 | |
New Hampshire | MEDICAID | 03257283 |
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