Driggers, Wesley Jay
Driggers, Wesley Jay is an individual health care provider with primary practice located at 740 Dunlawton Ave , Port Orange FL 32127-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Driggers, Wesley Jay can be contacted via phone (386) 763-1000.Contact Information
Primary practice address
740 Dunlawton Ave
Port Orange FL 32127-4901
Phone: (386) 763-1000
Fax: (386) 304-0682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME86068 | Florida |
Profile Details
| NPI number | 1891790309 |
|---|---|
| LBN Legal business name | Driggers, Wesley Jay |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 30th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891790309 | NPPES |
| Florida | Other | ME86068 | UNITED BENEFITS |
| Florida | Other | 57727 | UNITED BENEFITS |
| Florida | MEDICAID | 265807100 | UNITED BENEFITS |
| Florida | Other | ME86068 | UNITED BENEFITS |
| Florida | Other | ME86068 | UNITED BENEFITS |
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