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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730165234 NPPES
Massachusetts MEDICAID 3195228
Massachusetts MEDICAID 1006998

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