Wienecke, Robert Jerome

Wienecke, Robert Jerome is an individual health care provider with primary practice located at 14100 Parkway Commons Dr Ste 100 , Oklahoma City OK 73134-6036. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wienecke, Robert Jerome can be contacted via phone (405) 748-3300.

Contact Information

Primary practice address
14100 Parkway Commons Dr Ste 100 Oklahoma City OK 73134-6036
Phone: (405) 748-3300
Fax: (405) 748-2920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21277 Oklahoma

Profile Details

NPI number 1669461000
LBN Legal business name Wienecke, Robert Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 2nd, 2022 - about 3 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 1669461000 NPPES
Oklahoma MEDICAID 200043320A

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