Wieties, William

Wieties, William is an individual health care provider with primary practice located at 300 W 27Th St , Lumberton NC 28358-3075. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wieties, William can be contacted via phone (910) 671-5000.

Contact Information

Primary practice address
300 W 27Th St Lumberton NC 28358-3075
Phone: (910) 671-5000
Fax: (910) 738-3764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 102562 Missouri

Profile Details

NPI number 1104958412
LBN Legal business name Wieties, William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 28th, 2014 - about 11 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 1104958412 NPPES
Missouri MEDICAID 913284816
Missouri MEDICAID 1104958412

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