Wiedemer, William J

Wiedemer, William J is an individual health care provider with primary practice located at 711 Logan Blvd , Altoona PA 16602-4165. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wiedemer, William J can be contacted via phone (814) 943-3668.

Contact Information

Primary practice address
711 Logan Blvd Altoona PA 16602-4165
Phone: (814) 943-3668
Fax: (814) 942-7635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC004522L Pennsylvania

Profile Details

NPI number 1528027794
LBN Legal business name Wiedemer, William J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 20th, 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 1528027794 NPPES
Pennsylvania Other 000505853 HIGHMARK BLUE SHIELD INDV
Pennsylvania Other 000546370 HIGHMARK BLUE SHIELD INDV
Pennsylvania MEDICAID 0018087500001 HIGHMARK BLUE SHIELD INDV

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