Wiemar, Kenneth E
Wiemar, Kenneth E is an individual health care provider with primary practice located at 1919 S Wheeling Ave Suite 300, Tulsa OK 74104-5638. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wiemar, Kenneth E can be contacted via phone (918) 748-7570.Contact Information
Primary practice address
1919 S Wheeling Ave Suite 300
Tulsa OK 74104-5638
Phone: (918) 748-7570
Fax: (918) 748-7573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12545 | Oklahoma |
Profile Details
| NPI number | 1194785303 |
|---|---|
| LBN Legal business name | Wiemar, Kenneth E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 24th, 2008 - about 18 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 | 1194785303 | NPPES |
| Oklahoma | Other | 731346102 | FEDERAL TAX ID |
| Oklahoma | MEDICAID | 100162400A | FEDERAL TAX ID |
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