Wiebenga, Peter J

Wiebenga, Peter J is an individual health care provider with primary practice located at 175 S Waverly Rd , Holland MI 49423-7907. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wiebenga, Peter J can be contacted via phone (616) 392-5222.

Contact Information

Primary practice address
175 S Waverly Rd Holland MI 49423-7907
Phone: (616) 392-5222
Fax: (616) 392-3635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301032024 Michigan

Profile Details

NPI number 1225003825
LBN Legal business name Wiebenga, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 9th, 2007 - about 18 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 1225003825 NPPES
Michigan Other P32249 PJW BCN
Michigan Other 4301032024 PJW BCN
Michigan Other PW032024 PJW BCN

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