Wischmeyer, Jason B

Wischmeyer, Jason B is an individual health care provider with primary practice located at 4004 82Nd St Ste D , Lubbock TX 79423-2065. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wischmeyer, Jason B can be contacted via phone (806) 722-3144.

Contact Information

Primary practice address
4004 82Nd St Ste D Lubbock TX 79423-2065
Phone: (806) 722-3144
Fax: (806) 722-3145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J5676 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J5676 Texas

Profile Details

NPI number 1265480966
LBN Legal business name Wischmeyer, Jason B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 7th, 2021 - about 3 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 1265480966 NPPES
Texas MEDICAID 104156802
Texas MEDICAID 104156803
Texas MEDICAID 104156801

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