Wisneski, John D

Wisneski, John D is an individual health care provider with primary practice located at 95 S Pagosa Blvd , Pagosa Springs CO 81147-8329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wisneski, John D can be contacted via phone (970) 731-3700.

Contact Information

Primary practice address
95 S Pagosa Blvd Pagosa Springs CO 81147-8329
Phone: (970) 731-3700
Fax: (970) 731-3707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20130017 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0041986 Colorado

Profile Details

NPI number 1982699039
LBN Legal business name Wisneski, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 16th, 2017 - about 7 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 1982699039 NPPES
Colorado MEDICAID 075851211

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