Wieder, William Thomas

Wieder, William Thomas is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wieder, William Thomas can be contacted via phone (216) 621-5600.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Fax: (216) 479-5554
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-034471 Ohio

Profile Details

NPI number 1568566107
LBN Legal business name Wieder, William Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1568566107 NPPES
Ohio MEDICAID 0251865

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