Wiesler, Ethan Ron
Wiesler, Ethan Ron is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Wiesler, Ethan Ron can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-8018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 96-00222 | North Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 9600222 | North Carolina |
Profile Details
| NPI number | 1538146147 |
|---|---|
| LBN Legal business name | Wiesler, Ethan Ron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Aug 20th, 2020 - about 6 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 | 1538146147 | NPPES |
| Other | 126FF | BCBS | |
| Other | 2280373A | BCBS | |
| Other | 36195 | BCBS | |
| Other | 7122310 | BCBS | |
| MEDICAID | 89126FF | BCBS | |
| Other | 98579 | BCBS | |
| Other | 200043944 | BCBS | |
| MEDICAID | 1850002000 | BCBS | |
| MEDICAID | 6402941 | BCBS |
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