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
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033128053 | NPPES |
California | MEDICAID | 000E16300 |
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