Wienecke, Matthew M

Wienecke, Matthew M is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Suite 200A, Columbia SC 29203-6859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Wienecke, Matthew M can be contacted via phone (803) 434-7940.

Contact Information

Primary practice address
9 Richland Medical Park Dr Suite 200A Columbia SC 29203-6859
Phone: (803) 434-7940
Fax: (803) 434-2262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 14381 South Carolina

Profile Details

NPI number 1104855089
LBN Legal business name Wienecke, Matthew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Mar 21st, 2018 - about 6 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 1104855089 NPPES
South Carolina MEDICAID 143810

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