Fiske, William Wyman

Fiske, William Wyman is an sole proprietor health care provider with primary practice located at 134 Ansel Hallet Rd , W Yarmouth MA 02673-2582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fiske, William Wyman can be contacted via phone (508) 771-9779.

Contact Information

Primary practice address
134 Ansel Hallet Rd W Yarmouth MA 02673-2582
Phone: (508) 771-9779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 74240 Massachusetts

Profile Details

NPI number 1780624213
LBN Legal business name Fiske, William Wyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated May 22nd, 2013 - about 13 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 1780624213 NPPES
Massachusetts Other P00429633 RR MEDICARE
Massachusetts MEDICAID 110095135A RR MEDICARE
Massachusetts Other J11263 RR MEDICARE

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