Wiley, Andrew

Wiley, Andrew is an individual health care provider with primary practice located at 2450 Sister Mary Columba Dr , Red Bluff CA 96080-4356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wiley, Andrew can be contacted via phone (530) 527-0414.

Contact Information

Primary practice address
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356
Phone: (530) 527-0414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G42608 California

Profile Details

NPI number 1841325446
LBN Legal business name Wiley, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1841325446 NPPES
California MEDICAID GR0089250
California MEDICAID RHM53955F

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