Wiess, Timothy E.

Wiess, Timothy E. is an individual health care provider with primary practice located at 9470 Broadway , Crown Point IN 46307-5722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wiess, Timothy E. can be contacted via phone (219) 661-3260.

Contact Information

Primary practice address
9470 Broadway Crown Point IN 46307-5722
Phone: (219) 661-3260
Fax: (219) 662-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01049993A Indiana

Profile Details

NPI number 1710910815
LBN Legal business name Wiess, Timothy E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 28th, 2023 - about 2 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 1710910815 NPPES
Indiana MEDICAID 200231320
Indiana Other 000000721937

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