Wise, Robert Eugene

Wise, Robert Eugene is an sole proprietor health care provider with primary practice located at 195 E Fiddlers Canyon Rd Unit 14, Cedar City UT 84720-8744. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wise, Robert Eugene can be contacted via phone (435) 559-3136.

Contact Information

Primary practice address
195 E Fiddlers Canyon Rd Unit 14 Cedar City UT 84720-8744
Phone: (435) 559-3136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 5586107-4406 Utah

Profile Details

NPI number 1558492637
LBN Legal business name Wise, Robert Eugene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558492637 NPPES
New Mexico MEDICAID 86924214
New Mexico Other P00469890

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