Wiens, Jeryl

Wiens, Jeryl is an individual health care provider with primary practice located at 1630 E Herndon Ave , Fresno CA 93720-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Wiens, Jeryl can be contacted via phone (559) 256-5200.

Contact Information

Primary practice address
1630 E Herndon Ave Fresno CA 93720-3305
Phone: (559) 256-5200
Fax: (559) 256-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G50505 California

Profile Details

NPI number 1760465686
LBN Legal business name Wiens, Jeryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated May 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760465686 NPPES
California Other 250014100 RAILROAD MEDICARE
California Other 0170702 RAILROAD MEDICARE

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