Wenzler, Robert James
Wenzler, Robert James is an sole proprietor health care provider with primary practice located at 928 Goodman Rd E Suite D, Southaven MS 38671-8824. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Wenzler, Robert James can be contacted via phone (662) 470-4608.Contact Information
Primary practice address
928 Goodman Rd E Suite D
Southaven MS 38671-8824
Phone: (662) 470-4608
Fax: (662) 470-4610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM0000000655 | Tennessee |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 80196 | Mississippi |
Profile Details
| NPI number | 1518999630 |
|---|---|
| LBN Legal business name | Wenzler, Robert James |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 3rd, 2009 - about 17 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 | 1518999630 | NPPES |
| Tennessee | Other | P00464002 | MEDICARE ID TYPE UNSPECIFIED |
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