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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 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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