Wienecke, Robert Jerome
Wienecke, Robert Jerome is an individual health care provider with primary practice located at 14100 Parkway Commons Dr Ste 100 , Oklahoma City OK 73134-6036. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Wienecke, Robert Jerome can be contacted via phone (405) 748-3300.Contact Information
Primary practice address
14100 Parkway Commons Dr Ste 100
Oklahoma City OK 73134-6036
Phone: (405) 748-3300
Fax: (405) 748-2920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 21277 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 21277 | Oklahoma |
Profile Details
| NPI number | 1669461000 |
|---|---|
| LBN Legal business name | Wienecke, Robert Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 20th, 2025 - about last year |
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 | 1669461000 | NPPES |
| Oklahoma | MEDICAID | 200043320A |
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