Wiese, James Alan

Wiese, James Alan is an individual health care provider with primary practice located at 2769 Heartland Drive Suite 105, Coralville IA 52241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wiese, James Alan can be contacted via phone (319) 545-7300.

Contact Information

Primary practice address
2769 Heartland Drive Suite 105 Coralville IA 52241
Phone: (319) 545-7300
Fax: (319) 545-7314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24575 Iowa

Profile Details

NPI number 1588610661
LBN Legal business name Wiese, James Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 27th, 2021 - about 4 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 1588610661 NPPES
Iowa MEDICAID 0057497
Iowa MEDICAID 0081794
Iowa Other 27997
Iowa Other 32811
Iowa MEDICAID 3081794
Iowa Other 19476
Iowa Other 42859

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