Wiens, Glenn A
Wiens, Glenn A is an individual health care provider with primary practice located at 2430 20Th St Sw , Jamestown ND 58401-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiens, Glenn A can be contacted via phone (701) 253-5300.Contact Information
Primary practice address
2430 20Th St Sw
Jamestown ND 58401-6201
Phone: (701) 253-5300
Fax: (701) 253-5402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5541 | North Dakota |
Profile Details
NPI number | 1316971567 |
---|---|
LBN Legal business name | Wiens, Glenn A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Dec 23rd, 2015 - about 9 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 | 1316971567 | NPPES |
North Dakota | MEDICAID | 16326 | |
North Dakota | Other | 14061 | |
North Dakota | MEDICAID | 1450684 |
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