Wiewel, Chandra K
Wiewel, Chandra K is an individual health care provider with primary practice located at 1101 Highway K , O Fallon MO 63366-8431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wiewel, Chandra K can be contacted via phone (636) 379-4590.Contact Information
Primary practice address
1101 Highway K
O Fallon MO 63366-8431
Phone: (636) 379-4590
Fax: (636) 669-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2005014704 | Missouri |
Profile Details
| NPI number | 1033170741 |
|---|---|
| LBN Legal business name | Wiewel, Chandra K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Nov 24th, 2020 - about 5 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 | 1033170741 | NPPES |
| Missouri | MEDICAID | 207454307 |
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