Wiesinger, Matthew

Wiesinger, Matthew is an sole proprietor health care provider with primary practice located at 2500 Harbor Blvd , Port Charlotte FL 33952-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wiesinger, Matthew can be contacted via phone (941) 766-4122.

Contact Information

Primary practice address
2500 Harbor Blvd Port Charlotte FL 33952-5000
Phone: (941) 766-4122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A66549 California

Profile Details

NPI number 1316973407
LBN Legal business name Wiesinger, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Mar 26th, 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 1316973407 NPPES
Other A66549 BLUE CROSS
MEDICAID 00A665490 BLUE CROSS
Other 00A665490 BLUE CROSS

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