Wiest, Jeanie A

Wiest, Jeanie A is an sole proprietor health care provider with primary practice located at 20 Mount Vista Dr , Buckhannon WV 26201-9402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as her primary health care specialty. Wiest, Jeanie A can be contacted via phone (304) 472-4427.

Contact Information

Primary practice address
20 Mount Vista Dr Buckhannon WV 26201-9402
Phone: (304) 472-4427
Fax: (304) 472-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 09933 West Virginia

Profile Details

NPI number 1164593265
LBN Legal business name Wiest, Jeanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2006
Last updated Oct 7th, 2008 - about 16 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 1164593265 NPPES
West Virginia MEDICAID 0046903000

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