Wieder, Jeffrey Alan
Wieder, Jeffrey Alan is an individual health care provider with primary practice located at 2999 Regent St #612, Berkeley CA 94705-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Wieder, Jeffrey Alan can be contacted via phone (510) 848-1727.Contact Information
Primary practice address
2999 Regent St #612
Berkeley CA 94705-2146
Phone: (510) 848-1727
Fax: (510) 848-8224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | A71035 | California |
Profile Details
| NPI number | 1760559264 |
|---|---|
| LBN Legal business name | Wieder, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Feb 12th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760559264 | NPPES |
| California | MEDICAID | YYY49005Y |
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