Wiese, Douglas Ray
Wiese, Douglas Ray is an individual health care provider with primary practice located at 655 E 1300 N , Logan UT 84341. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wiese, Douglas Ray can be contacted via phone (435) 792-6500.Contact Information
Primary practice address
655 E 1300 N
Logan UT 84341
Phone: (435) 792-6500
Fax: (435) 792-6600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 360651-6006 | Utah |
Profile Details
| NPI number | 1558577700 |
|---|---|
| LBN Legal business name | Wiese, Douglas Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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