Wisner, Douglas M
Wisner, Douglas M is an individual health care provider with primary practice located at 4060 Butler Pike Suite 100, Plymouth Meeting PA 19462-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wisner, Douglas M can be contacted via phone (215) 836-1290.Contact Information
Primary practice address
4060 Butler Pike Suite 100
Plymouth Meeting PA 19462-1560
Phone: (215) 836-1290
Fax: (215) 233-3421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD444936 | Pennsylvania |
Profile Details
| NPI number | 1932360641 |
|---|---|
| LBN Legal business name | Wisner, Douglas M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2008 |
| Last updated | May 31st, 2017 - 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 | 1932360641 | NPPES |
| Pennsylvania | MEDICAID | 1027305650001 |
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