Wise, Von P

Wise, Von P is an individual health care provider with primary practice located at 5 W Main St , Lock Haven PA 17745-1243. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wise, Von P can be contacted via phone (570) 748-7462.

Contact Information

Primary practice address
5 W Main St Lock Haven PA 17745-1243
Fax: (570) 748-8910
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC005339L Pennsylvania

Profile Details

NPI number 1073502092
LBN Legal business name Wise, Von P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - 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 1073502092 NPPES
Pennsylvania MEDICAID 0014136130003
Pennsylvania Other 14952
Pennsylvania Other 806022

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