Wiegandt, Amy Gleason
Wiegandt, Amy Gleason is an sole proprietor health care provider with primary practice located at 2621 Cranberry Highway , Wareham MA 02571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wiegandt, Amy Gleason can be contacted via phone (508) 295-4902.Contact Information
Primary practice address
2621 Cranberry Highway
Wareham MA 02571
Phone: (508) 295-4902
Fax: (508) 295-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57120 | Massachusetts |
Profile Details
| NPI number | 1285692525 |
|---|---|
| LBN Legal business name | Wiegandt, Amy Gleason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 18th, 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 | 1285692525 | NPPES |
| Massachusetts | Other | 754275 | TUFTS HLTH PLAN |
| Massachusetts | Other | 61516 | TUFTS HLTH PLAN |
| Massachusetts | Other | 110206873 | TUFTS HLTH PLAN |
| Massachusetts | MEDICAID | 3032736 | TUFTS HLTH PLAN |
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