Wiegandt, Amy Gleason

Wiegandt, Amy Gleason is an sole proprietor health care provider with primary practice located at 2621 Cranberry Highway , Wareham MA 02571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wiegandt, Amy Gleason can be contacted via phone (508) 295-4902.

Contact Information

Primary practice address
2621 Cranberry Highway Wareham MA 02571
Fax: (508) 295-2455
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57120 Massachusetts

Profile Details

NPI number 1285692525
LBN Legal business name Wiegandt, Amy Gleason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 18th, 2008 - about 16 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 1285692525 NPPES
Massachusetts Other 754275 TUFTS HLTH PLAN
Massachusetts Other 61516 TUFTS HLTH PLAN
Massachusetts Other 110206873 TUFTS HLTH PLAN
Massachusetts MEDICAID 3032736 TUFTS HLTH PLAN

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