Wiley, Zealous D
Wiley, Zealous D is an individual health care provider with primary practice located at 3300 Webster Street Suite 312, Oakland CA 94116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wiley, Zealous D can be contacted via phone (510) 444-3297.Contact Information
Primary practice address
3300 Webster Street Suite 312
Oakland CA 94116
Phone: (510) 444-3297
Fax: (510) 444-6421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | C33824 | California |
Profile Details
| NPI number | 1740232610 |
|---|---|
| LBN Legal business name | Wiley, Zealous D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 19th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740232610 | NPPES |
| California | MEDICAID | GR0082090 |
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