Wiegand, Philip Joseph

Wiegand, Philip Joseph is an individual health care provider with primary practice located at 1714 Washington Blvd , Easton PA 18042. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Wiegand, Philip Joseph can be contacted via phone (610) 258-4379.

Contact Information

Primary practice address
1714 Washington Blvd Easton PA 18042
Fax: (610) 258-3145
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DS018298L Pennsylvania

Profile Details

NPI number 1689796310
LBN Legal business name Wiegand, Philip Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jan 18th, 2011 - about 15 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 1689796310 NPPES
Pennsylvania Other 0531603 MEDICAL ASSISTANCE

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