Wiegman, William Robert

Wiegman, William Robert is an sole proprietor health care provider with primary practice located at 1034 Carll Dr , Bay Shore NY 11706-6204. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wiegman, William Robert can be contacted via phone (631) 665-1614.

Contact Information

Primary practice address
1034 Carll Dr Bay Shore NY 11706-6204
Phone: (631) 665-1614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004162-1 New York

Profile Details

NPI number 1609084813
LBN Legal business name Wiegman, William Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609084813 NPPES
New York MEDICAID 00966885

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