Wiess, Timothy E.
Wiess, Timothy E. is an individual health care provider with primary practice located at 9470 Broadway , Crown Point IN 46307-5722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wiess, Timothy E. can be contacted via phone (219) 661-3260.Contact Information
Primary practice address
9470 Broadway
Crown Point IN 46307-5722
Phone: (219) 661-3260
Fax: (219) 662-3765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01049993A | Indiana |
Profile Details
| NPI number | 1710910815 |
|---|---|
| LBN Legal business name | Wiess, Timothy E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Sep 28th, 2023 - about 3 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 | 1710910815 | NPPES |
| Indiana | MEDICAID | 200231320 | |
| Indiana | Other | 000000721937 |
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