Wieselquist, Jessica

Wieselquist, Jessica is an individual health care provider with primary practice located at 20 Research Pl Suite 130, North Chelmsford MA 01863-2454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wieselquist, Jessica can be contacted via phone (978) 446-9850.

Contact Information

Primary practice address
20 Research Pl Suite 130 North Chelmsford MA 01863-2454
Phone: (978) 446-9850
Fax: (855) 283-4714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 161137 Massachusetts

Profile Details

NPI number 1144255712
LBN Legal business name Wieselquist, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 14th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144255712 NPPES
Massachusetts MEDICAID 2021366

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