Wiegert, Michael Edward

Wiegert, Michael Edward is an individual health care provider with primary practice located at 3000 New Bern Ave Ste 2035 , Raleigh NC 27610-1231. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wiegert, Michael Edward can be contacted via phone (919) 231-6132.

Contact Information

Primary practice address
3000 New Bern Ave Ste 2035 Raleigh NC 27610-1231
Phone: (919) 231-6132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003590 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05316 North Carolina

Profile Details

NPI number 1104822592
LBN Legal business name Wiegert, Michael Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 15th, 2023 - about 3 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 1104822592 NPPES
Georgia MEDICAID 100002225I
Georgia MEDICAID 1104822592

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