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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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