Wiese, Theron J
Wiese, Theron J is an sole proprietor health care provider with primary practice located at 1395 Commercial St Se , Salem OR 97302-4205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wiese, Theron J can be contacted via phone (503) 990-7187.Contact Information
Primary practice address
1395 Commercial St Se
Salem OR 97302-4205
Phone: (503) 990-7187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA184738 | Oregon |
Profile Details
| NPI number | 1841648862 |
|---|---|
| LBN Legal business name | Wiese, Theron J |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2016 |
| Last updated | Oct 24th, 2017 - about 9 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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