Wieland, Gordon D.
Wieland, Gordon D. is an sole proprietor health care provider with primary practice located at 3102 Plover Rd , Louisville KY 40213-1229. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wieland, Gordon D. can be contacted via phone (502) 403-6054.Contact Information
Primary practice address
3102 Plover Rd
Louisville KY 40213-1229
Phone: (502) 403-6054
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 166 | Oklahoma |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3491 | Oklahoma |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 102155 | Kentucky |
Profile Details
NPI number | 1043340748 |
---|---|
LBN Legal business name | Wieland, Gordon D. |
Credentials | MA, LPCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 6th, 2007 |
Last updated | Jan 8th, 2019 - about 5 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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