Wigginton, Stephen Andrew

Wigginton, Stephen Andrew is an individual health care provider with primary practice located at 709 E Anaheim St , Long Beach CA 90813-3507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Wigginton, Stephen Andrew can be contacted via phone (562) 591-7700.

Contact Information

Primary practice address
709 E Anaheim St Long Beach CA 90813-3507
Phone: (562) 591-7700
Fax: (562) 591-1311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A62061 California
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X A62061 California

Profile Details

NPI number 1568468106
LBN Legal business name Wigginton, Stephen Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 3rd, 2018 - about 6 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 1568468106 NPPES
California MEDICAID CB293424
California MEDICAID 102092703

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