Wasselle, Joseph A

Wasselle, Joseph A is an individual health care provider with primary practice located at 2222 S Harbor City Blvd Suite 450, Melbourne FL 32901-5594. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wasselle, Joseph A can be contacted via phone (321) 541-1715.

Contact Information

Primary practice address
2222 S Harbor City Blvd Suite 450 Melbourne FL 32901-5594
Phone: (321) 541-1715
Fax: (321) 725-8739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME54118 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME54118 Florida

Profile Details

NPI number 1245295898
LBN Legal business name Wasselle, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Oct 5th, 2016 - about 9 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 1245295898 NPPES
Other 020025955 RAIL ROAD MEDICARE
MEDICAID 373041700 RAIL ROAD MEDICARE

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