Wise, Sean Robert
Wise, Sean Robert is an individual health care provider with primary practice located at 9300 Dewitt Loop Sports Medicine Clinic, Fort Belvoir VA 22060-5285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wise, Sean Robert can be contacted via phone (571) 231-2195.Contact Information
Primary practice address
9300 Dewitt Loop Sports Medicine Clinic
Fort Belvoir VA 22060-5285
Phone: (571) 231-2195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 2018-02819 | North Carolina |
Profile Details
| NPI number | 1083896534 |
|---|---|
| LBN Legal business name | Wise, Sean Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Apr 27th, 2022 - 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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