Wiesner, David Charles

Wiesner, David Charles is an individual health care provider with primary practice located at 2610 Wycliff Rd Suite 103, Raleigh NC 27607-3073. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wiesner, David Charles can be contacted via phone (919) 782-4060.

Contact Information

Primary practice address
2610 Wycliff Rd Suite 103 Raleigh NC 27607-3073
Phone: (919) 782-4060
Fax: (919) 782-0906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60405036 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2039 North Carolina

Profile Details

NPI number 1265410286
LBN Legal business name Wiesner, David Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Mar 12th, 2018 - about 7 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 1265410286 NPPES
North Carolina Other 04080 BC/BS PROVIDER NUMBER

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