Wiesman, Allison Jane

Wiesman, Allison Jane is an individual health care provider with primary practice located at 156 W Muskegon Dr , Greenfield IN 46140-3069. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wiesman, Allison Jane can be contacted via phone (317) 468-6270.

Contact Information

Primary practice address
156 W Muskegon Dr Greenfield IN 46140-3069
Phone: (317) 468-6270
Fax: (317) 468-6268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11013113A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01066799A Indiana

Profile Details

NPI number 1710198957
LBN Legal business name Wiesman, Allison Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2007
Last updated Feb 1st, 2011 - about 15 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 1710198957 NPPES
Indiana MEDICAID 200945360
Indiana Other 000000617054
Indiana Other 200311740E
Indiana Other 208000000X

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