Wiseman, William Samuel

Wiseman, William Samuel is an individual health care provider with primary practice located at 506 Reserve Pl , Mount Juliet TN 37122-6393. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Wiseman, William Samuel can be contacted via phone (615) 423-5437.

Contact Information

Primary practice address
506 Reserve Pl Mount Juliet TN 37122-6393
Phone: (615) 423-5437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34694 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34694 Tennessee

Profile Details

NPI number 1235296104
LBN Legal business name Wiseman, William Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 15th, 2023 - about last year

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 1235296104 NPPES
Tennessee MEDICAID 3898547

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