Wishik, Jeffrey

Wishik, Jeffrey is an sole proprietor health care provider with primary practice located at 1 Randall Sq Suite 409, Providence RI 02904-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Wishik, Jeffrey can be contacted via phone (401) 274-5150.

Contact Information

Primary practice address
1 Randall Sq Suite 409 Providence RI 02904-2709
Phone: (401) 274-5150
Fax: (401) 274-5130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD07160 Rhode Island
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD07160 Rhode Island

Profile Details

NPI number 1447305636
LBN Legal business name Wishik, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Nov 28th, 2007 - about 18 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 1447305636 NPPES
Rhode Island MEDICAID 9000115

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