Wiegand, Clifford Frank
Wiegand, Clifford Frank is an individual health care provider with primary practice located at 107 Woodlawn Dr , Johnson City TN 37604-5978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Wiegand, Clifford Frank can be contacted via phone (423) 929-7158.Contact Information
Primary practice address
107 Woodlawn Dr
Johnson City TN 37604-5978
Phone: (423) 929-7158
Fax: (423) 828-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD18429 | Tennessee |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD18429 | Tennessee |
Profile Details
| NPI number | 1588669170 |
|---|---|
| LBN Legal business name | Wiegand, Clifford Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 28th, 2009 - about 17 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 | 1588669170 | NPPES |
| Tennessee | MEDICAID | 3030482 |
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