Wisner, Jacqueline Joan Rachel
Wisner, Jacqueline Joan Rachel is an sole proprietor health care provider with primary practice located at 2208 Eastlake Rd , Timonium MD 21093-2706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wisner, Jacqueline Joan Rachel can be contacted via phone (410) 982-8103.Contact Information
Primary practice address
2208 Eastlake Rd
Timonium MD 21093-2706
Phone: (410) 982-8103
Fax: (410) 252-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D75209 | Maryland |
Profile Details
| NPI number | 1295164911 |
|---|---|
| LBN Legal business name | Wisner, Jacqueline Joan Rachel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Aug 4th, 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.
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