Weise, Wolfgang Johannes

Weise, Wolfgang Johannes is an individual health care provider with primary practice located at 1 S Prospect St 2318 Rehab.Bldg, Uhc, Burlington VT 05401-3456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Weise, Wolfgang Johannes can be contacted via phone (802) 847-3572.

Contact Information

Primary practice address
1 S Prospect St 2318 Rehab.Bldg, Uhc Burlington VT 05401-3456
Phone: (802) 847-3572
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Vermont

Profile Details

NPI number 1790865004
LBN Legal business name Weise, Wolfgang Johannes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790865004 NPPES
New York MEDICAID E01434028
New York MEDICAID OVN0717

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