Wieters, Thomas R
Wieters, Thomas R is an sole proprietor health care provider with primary practice located at 3070 N Highway 17 Suite 202, Mount Pleasant SC 29466-9300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wieters, Thomas R can be contacted via phone (843) 881-8346.Contact Information
Primary practice address
3070 N Highway 17 Suite 202
Mount Pleasant SC 29466-9300
Phone: (843) 881-8346
Fax: (843) 284-4093
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 10486 | South Carolina |
Profile Details
NPI number | 1255368106 |
---|---|
LBN Legal business name | Wieters, Thomas R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 27th, 2006 |
Last updated | Feb 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255368106 | NPPES |
South Carolina | Other | 1518149350 | NPI |
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