Wielkiewicz, Walter

Wielkiewicz, Walter is an individual health care provider with primary practice located at 751 Forest Ave Ste 402 , Zanesville OH 43701-2878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wielkiewicz, Walter can be contacted via phone (740) 454-0196.

Contact Information

Primary practice address
751 Forest Ave Ste 402 Zanesville OH 43701-2878
Phone: (740) 454-0196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35052245W Ohio

Profile Details

NPI number 1063497824
LBN Legal business name Wielkiewicz, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Feb 8th, 2021 - about 4 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 1063497824 NPPES
Ohio Other 311413469055 CARESOURCE PIN
Ohio Other 0101533 CARESOURCE PIN
Ohio MEDICAID 0596789 CARESOURCE PIN
Ohio Other 000000177605 CARESOURCE PIN
Ohio Other 0989499 CARESOURCE PIN
Ohio Other CA1586 CARESOURCE PIN
Ohio Other 000000019630 CARESOURCE PIN
Ohio Other 080019531 CARESOURCE PIN

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