Wiencek, Jeffrey Paul

Wiencek, Jeffrey Paul is an individual health care provider with primary practice located at 3723 Franklin St , Michigan City IN 46360-7310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wiencek, Jeffrey Paul can be contacted via phone (219) 874-3313.

Contact Information

Primary practice address
3723 Franklin St Michigan City IN 46360-7310
Phone: (219) 874-3313
Fax: (219) 878-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000502A Indiana

Profile Details

NPI number 1174508840
LBN Legal business name Wiencek, Jeffrey Paul
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 28th, 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 1174508840 NPPES
Indiana Other 71000502A LICENSE IN

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