Wisenbaker, Chaeli
Wisenbaker, Chaeli is an sole proprietor health care provider with primary practice located at 2412 N Oak St , Valdosta GA 31602-2567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wisenbaker, Chaeli can be contacted via phone (229) 244-1400.Contact Information
Primary practice address
2412 N Oak St
Valdosta GA 31602-2567
Phone: (229) 244-1400
Fax: (229) 244-5512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Georgia |
Profile Details
| NPI number | 1003229568 |
|---|---|
| LBN Legal business name | Wisenbaker, Chaeli |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2014 |
| Last updated | May 20th, 2016 - about 8 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 | 1003229568 | NPPES |
| Georgia | Other | 7207 | GEORGIA LICENSE |
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