Wiener, John Samuel

Wiener, John Samuel is an individual health care provider with primary practice located at Erwin Road , Durham NC 27710-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wiener, John Samuel can be contacted via phone (919) 684-6994.

Contact Information

Primary practice address
Erwin Road Durham NC 27710-2121
Fax: (919) 681-5507
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 33913 North Carolina

Profile Details

NPI number 1407892748
LBN Legal business name Wiener, John Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 16th, 2023 - about 2 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 1407892748 NPPES
North Carolina MEDICAID 891047F

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