Wiseman, Jeffrey Scott

Wiseman, Jeffrey Scott is an individual health care provider with primary practice located at 30 Harrison St Ste 455 , Johnson City NY 13790-2176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Wiseman, Jeffrey Scott can be contacted via phone (607) 763-8100.

Contact Information

Primary practice address
30 Harrison St Ste 455 Johnson City NY 13790-2176
Phone: (607) 763-8100
Fax: (607) 763-8048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 190990 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 190990 New York

Profile Details

NPI number 1235469974
LBN Legal business name Wiseman, Jeffrey Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2009
Last updated Jan 28th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235469974 NPPES
New York MEDICAID 01236451

Popular Providers