Wisniew, Jerome Anthony

Wisniew, Jerome Anthony is an sole proprietor health care provider with primary practice located at 2306 6Th Ave , San Diego CA 92101-1643. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wisniew, Jerome Anthony can be contacted via phone (619) 232-0179.

Contact Information

Primary practice address
2306 6Th Ave San Diego CA 92101-1643
Phone: (619) 232-0179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1630 California

Profile Details

NPI number 1033128053
LBN Legal business name Wisniew, Jerome Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated May 15th, 2024 - about 6 months 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 1033128053 NPPES
California MEDICAID 000E16300

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