Wetherall, Ian

Wetherall, Ian is an individual health care provider with primary practice located at 455 Pinellas St Suite 320, Clearwater FL 33756-3354. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wetherall, Ian can be contacted via phone (727) 446-2273.

Contact Information

Primary practice address
455 Pinellas St Suite 320 Clearwater FL 33756-3354
Phone: (727) 446-2273
Fax: (727) 441-4966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108763 Florida

Profile Details

NPI number 1164730289
LBN Legal business name Wetherall, Ian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2010
Last updated Apr 13th, 2023 - about 3 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 1164730289 NPPES
Florida MEDICAID 015310600
Florida Other Y0S8R

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