Wiebe, Edward Louis

Wiebe, Edward Louis is an sole proprietor health care provider with primary practice located at 8 W Columbus Ave , Flagstaff AZ 86001-3202. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wiebe, Edward Louis can be contacted via phone (928) 774-4825.

Contact Information

Primary practice address
8 W Columbus Ave Flagstaff AZ 86001-3202
Phone: (928) 774-4825
Fax: (928) 779-1008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0076 Arizona

Profile Details

NPI number 1316908882
LBN Legal business name Wiebe, Edward Louis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Oct 3rd, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316908882 NPPES
Arizona MEDICAID 700270-001
Arizona Other AZ0065350

Popular Providers