Wiseman, Kathryn B

Wiseman, Kathryn B is an individual health care provider with primary practice located at 77 Hospital Ave Suite 302, North Adams MA 01247-2550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wiseman, Kathryn B can be contacted via phone (413) 663-8365.

Contact Information

Primary practice address
77 Hospital Ave Suite 302 North Adams MA 01247-2550
Phone: (413) 663-8365
Fax: (413) 662-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 159650 Massachusetts

Profile Details

NPI number 1649256660
LBN Legal business name Wiseman, Kathryn B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jun 22nd, 2011 - about 13 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 1649256660 NPPES
Vermont MEDICAID 1006997
Vermont MEDICAID 3195210

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