Wieler, Lisa Marie

Wieler, Lisa Marie is an individual health care provider with primary practice located at 1100 Monterey St Suite 210, San Luis Obispo CA 93401-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wieler, Lisa Marie can be contacted via phone (805) 542-9700.

Contact Information

Primary practice address
1100 Monterey St Suite 210 San Luis Obispo CA 93401-3102
Phone: (805) 542-9700
Fax: (805) 542-0584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G46986 California

Profile Details

NPI number 1316011083
LBN Legal business name Wieler, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 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 1316011083 NPPES
California Other CH9716 CHAMPUS
California Other G46986 CHAMPUS
California Other P00138584 CHAMPUS
California MEDICAID 00G19230 CHAMPUS

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