Wieck, Bryan
Wieck, Bryan is an sole proprietor health care provider with primary practice located at 1819 8Th St , Wichita Falls TX 76301-4212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wieck, Bryan can be contacted via phone (940) 322-9456.Contact Information
Primary practice address
1819 8Th St
Wichita Falls TX 76301-4212
Phone: (940) 322-9456
Fax: (940) 322-6759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | J0361 | Texas |
Profile Details
| NPI number | 1962401166 |
|---|---|
| LBN Legal business name | Wieck, Bryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962401166 | NPPES |
| Texas | Other | 122759 | SUPERIOR |
| Texas | Other | 128381 | SUPERIOR |
| Texas | Other | 208776 | SUPERIOR |
| Texas | MEDICAID | 115962602 | SUPERIOR |
| Texas | Other | 126829100 | SUPERIOR |
| Texas | Other | 168446 | SUPERIOR |
| Texas | Other | 00T02F | SUPERIOR |
| Texas | MEDICAID | 100158970A | SUPERIOR |
| Texas | Other | MDJ0361 | SUPERIOR |
| Texas | Other | 5982351 | SUPERIOR |
| Texas | Other | 5674356 | SUPERIOR |
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