Wheaton, Andrew D

Wheaton, Andrew D is an individual health care provider with primary practice located at 1029 Tana Ln , Menasha WI 54952-2960. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wheaton, Andrew D can be contacted via phone (920) 882-9241.

Contact Information

Primary practice address
1029 Tana Ln Menasha WI 54952-2960
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14490-040 Wisconsin

Profile Details

NPI number 1811255722
LBN Legal business name Wheaton, Andrew D
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 2012 - about 14 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 1811255722 NPPES
Wisconsin Other 14490-040 STATE LICENSE

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