Wise, John A.

Wise, John A. is an individual health care provider with primary practice located at 6005 Park Ave Suite 802, Memphis TN 38119-5202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wise, John A. can be contacted via phone (901) 236-0508.

Contact Information

Primary practice address
6005 Park Ave Suite 802 Memphis TN 38119-5202
Phone: (901) 236-0508
Fax: (901) 682-2143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1395 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1395 Tennessee

Profile Details

NPI number 1376632364
LBN Legal business name Wise, John A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated May 12th, 2015 - about 9 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 1376632364 NPPES
Tennessee MEDICAID PENDING

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