Wein, Richard Joel

Wein, Richard Joel is an sole proprietor health care provider with primary practice located at 3625 Park Pl W Ste 100, Mishawaka IN 46545-3561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wein, Richard Joel can be contacted via phone (574) 232-5963.

Contact Information

Primary practice address
3625 Park Pl W Ste 100 Mishawaka IN 46545-3561
Phone: (574) 232-5963
Fax: (574) 287-7988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01034947 Indiana

Profile Details

NPI number 1770574014
LBN Legal business name Wein, Richard Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Dec 28th, 2010 - about 16 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 1770574014 NPPES
Indiana MEDICAID 100090000A
Indiana Other 000000086629

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