Maher Wiese, Virginia L
Maher Wiese, Virginia L is an sole proprietor health care provider with primary practice located at 20 Saybrook Road , Essex CT 06426-1401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Maher Wiese, Virginia L can be contacted via phone (860) 767-9998.Contact Information
Primary practice address
20 Saybrook Road
Essex CT 06426-1401
Phone: (860) 767-9998
Fax: (860) 767-9161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 032989 | Connecticut |
Profile Details
| NPI number | 1396700217 |
|---|---|
| LBN Legal business name | Maher Wiese, Virginia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 4th, 2012 - about 14 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 | 1396700217 | NPPES |
| Connecticut | MEDICAID | 001329897 |
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