Wiesner, Rebecca

Wiesner, Rebecca is an individual health care provider with primary practice located at 1379 Enfield St , Enfield CT 06082-5524. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Wiesner, Rebecca can be contacted via phone (860) 741-3041.

Contact Information

Primary practice address
1379 Enfield St Enfield CT 06082-5524
Phone: (860) 741-3041
Fax: (860) 741-5644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2228 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 926 Connecticut

Profile Details

NPI number 1104183391
LBN Legal business name Wiesner, Rebecca
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Jun 23rd, 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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