Wize, Tresa Lynne

Wize, Tresa Lynne is an individual health care provider with primary practice located at 1030 Beaner Hollow Rd , Beaver PA 15009-9723. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Wize, Tresa Lynne can be contacted via phone (724) 775-4242.

Contact Information

Primary practice address
1030 Beaner Hollow Rd Beaver PA 15009-9723
Phone: (724) 775-4242
Fax: (724) 775-4960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006397 Pennsylvania

Profile Details

NPI number 1780948570
LBN Legal business name Wize, Tresa Lynne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jan 23rd, 2018 - about 6 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 1780948570 NPPES
Pennsylvania MEDICAID 103117126

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