Wise, Jeffrey Daniel

Wise, Jeffrey Daniel is an individual health care provider with primary practice located at 15 Kirkbride Dr , Danvers MA 01923-6011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wise, Jeffrey Daniel can be contacted via phone (978) 716-3600.

Contact Information

Primary practice address
15 Kirkbride Dr Danvers MA 01923-6011
Fax:
Website:

Health care specialties

Profile Details

NPI number 1346613460
LBN Legal business name Wise, Jeffrey Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Nov 11th, 2015 - about 10 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 1346613460 NPPES
Massachusetts Other 8244 PTA LICENSE

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