Wiese, Paul Robert

Wiese, Paul Robert is an sole proprietor health care provider with primary practice located at 1116 N Chipman St , Owosso MI 48867-4901. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wiese, Paul Robert can be contacted via phone (906) 362-7726.

Contact Information

Primary practice address
1116 N Chipman St Owosso MI 48867-4901
Phone: (906) 362-7726
Fax: (989) 472-4110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 673 West Virginia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301008035 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X FL EXEMPT 490.014 Florida

Profile Details

NPI number 1578901559
LBN Legal business name Wiese, Paul Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2013
Last updated Jan 31st, 2014 - about 12 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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