Wiersema, Maurits J.
Wiersema, Maurits J. is an individual health care provider with primary practice located at 2604 Dr Martin Luther King Jr Blvd , New Bern NC 28562-4238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wiersema, Maurits J. can be contacted via phone (252) 636-4502.Contact Information
Primary practice address
2604 Dr Martin Luther King Jr Blvd
New Bern NC 28562-4238
Phone: (252) 636-4502
Fax: (252) 633-2785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01039203A | Indiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2018-01881 | North Carolina |
Profile Details
| NPI number | 1316989692 |
|---|---|
| LBN Legal business name | Wiersema, Maurits J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 15th, 2019 - about 7 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 | 1316989692 | NPPES |
| Indiana | MEDICAID | 100176630 |
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