Wieland, Lawrence Joseph

Wieland, Lawrence Joseph is an sole proprietor health care provider with primary practice located at 2350 Buhne St A, Eureka CA 95501-3238. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Wieland, Lawrence Joseph can be contacted via phone (707) 443-4593.

Contact Information

Primary practice address
2350 Buhne St A Eureka CA 95501-3238
Phone: (707) 443-4593
Fax: (707) 443-6447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X C36056 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X C36056 California

Profile Details

NPI number 1104815380
LBN Legal business name Wieland, Lawrence Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jan 12th, 2011 - about 14 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 1104815380 NPPES
California Other C36056 MEDICAL LICENSE
California MEDICAID 00C360560 MEDICAL LICENSE

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