Wiseman, James Edward
Wiseman, James Edward is an individual health care provider with primary practice located at 11085 Little Patuxent Pkwy Ste 103 , Columbia MD 21044-2914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wiseman, James Edward can be contacted via phone (410) 730-1988.Contact Information
Primary practice address
11085 Little Patuxent Pkwy Ste 103
Columbia MD 21044-2914
Phone: (410) 730-1988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47272 | Arizona |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D92452 | Maryland |
Profile Details
| NPI number | 1346421930 |
|---|---|
| LBN Legal business name | Wiseman, James Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2007 |
| Last updated | Jun 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346421930 | NPPES |
| Arizona | Other | Z175473 | MEDICARE |
| Arizona | MEDICAID | 895706 | MEDICARE |
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