Wiley, William James
Wiley, William James is an sole proprietor health care provider with primary practice located at 10506 Lucaya Dr , Tampa FL 33647-3326. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wiley, William James can be contacted via phone (813) 973-8560.Contact Information
Primary practice address
10506 Lucaya Dr
Tampa FL 33647-3326
Phone: (813) 973-8560
Fax: (813) 973-8560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3008 | Florida |
Profile Details
NPI number | 1801834015 |
---|---|
LBN Legal business name | Wiley, William James |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 2nd, 2006 |
Last updated | Oct 22nd, 2012 - about 12 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 | 1801834015 | NPPES |
Florida | Other | 061658210 | TRICARE PROVIDER NUMBER |
Florida | Other | 65920 | TRICARE PROVIDER NUMBER |
Florida | Other | N307018 | TRICARE PROVIDER NUMBER |
Florida | MEDICAID | 340282700 | TRICARE PROVIDER NUMBER |
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