Wiens, Timothy B

Wiens, Timothy B is an individual health care provider with primary practice located at 720 Medical Center Dr , Newton KS 67114-8778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiens, Timothy B can be contacted via phone (316) 283-6103.

Contact Information

Primary practice address
720 Medical Center Dr Newton KS 67114-8778
Fax: (316) 283-1333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21488 Kansas

Profile Details

NPI number 1124037395
LBN Legal business name Wiens, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2006
Last updated Nov 30th, 2021 - 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 1124037395 NPPES
Kansas MEDICAID 100115410B
Kansas Other 16875
Kansas Other 100408
Kansas Other 024974
Kansas Other 1017
Kansas Other 12149419

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