Wise, Marc S

Wise, Marc S is an individual health care provider with primary practice located at 1 Medical Center Dr , Franklin OH 45005-2584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wise, Marc S can be contacted via phone (513) 312-3656.

Contact Information

Primary practice address
1 Medical Center Dr Franklin OH 45005-2584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35085676 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26113 Nebraska

Profile Details

NPI number 1417908385
LBN Legal business name Wise, Marc S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 14th, 2011 - 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 1417908385 NPPES
Ohio Other 000000481153 BCBS FAIRFIELD
Ohio Other 000000375342 BCBS FAIRFIELD
Ohio Other 000000375345 BCBS FAIRFIELD
Ohio Other 000000487936 BCBS FAIRFIELD
Ohio MEDICAID 2603552 BCBS FAIRFIELD

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