Wieman, Eric Andrew
Wieman, Eric Andrew is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 229 , Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wieman, Eric Andrew can be contacted via phone (307) 739-7690.Contact Information
Primary practice address
555 E Broadway Ave Ste 229
Jackson WY 83001-8640
Phone: (307) 739-7690
Fax: (307) 739-7644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10897A | Wyoming |
Profile Details
| NPI number | 1902021553 |
|---|---|
| LBN Legal business name | Wieman, Eric Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902021553 | NPPES |
| Wyoming | MEDICAID | 145089100 |
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