Wiseman, William Rex

Wiseman, William Rex is an individual health care provider with primary practice located at 110 Longwood Ave , Rockledge FL 32955-2828. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Wiseman, William Rex can be contacted via phone (321) 636-2211.

Contact Information

Primary practice address
110 Longwood Ave Rockledge FL 32955-2828
Phone: (321) 636-2211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101018518 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X OS15712 Florida

Profile Details

NPI number 1417282997
LBN Legal business name Wiseman, William Rex
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2009
Last updated Aug 26th, 2019 - about 5 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 1417282997 NPPES
Florida MEDICAID 101514800
Florida Other KN896

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