Wiseman, Richard A
Wiseman, Richard A is an individual health care provider with primary practice located at 140 Hospital Dr Ste 108 , Bennington VT 05201-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wiseman, Richard A can be contacted via phone (024) 447-5519.Contact Information
Primary practice address
140 Hospital Dr Ste 108
Bennington VT 05201-5010
Phone: (024) 447-5519
Fax: (802) 447-5657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042-0012245 | Vermont |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 159649 | Massachusetts |
Profile Details
| NPI number | 1730165234 |
|---|---|
| LBN Legal business name | Wiseman, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jun 23rd, 2020 - about 4 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 | 1730165234 | NPPES |
| Massachusetts | MEDICAID | 3195228 | |
| Massachusetts | MEDICAID | 1006998 |
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