Wiet, Richard J

Wiet, Richard J is an individual health care provider with primary practice located at 11 Salt Creek Ln Suite 101, Hinsdale IL 60521-2990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Wiet, Richard J can be contacted via phone (630) 789-3110.

Contact Information

Primary practice address
11 Salt Creek Ln Suite 101 Hinsdale IL 60521-2990
Phone: (630) 789-3110
Fax: (630) 789-3137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 036-047459 Illinois

Profile Details

NPI number 1760464911
LBN Legal business name Wiet, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 18th, 2015 - about 9 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 1760464911 NPPES
Illinois Other 403270 MEDICARE GROUP PTAN
Illinois MEDICAID 36047459 MEDICARE GROUP PTAN
Illinois Other 400280 MEDICARE GROUP PTAN

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