Wieting, Andrew
Wieting, Andrew is an individual health care provider with primary practice located at 2424 S 90Th St Ste 500 , West Allis WI 53227-2464. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wieting, Andrew can be contacted via phone (414) 321-2255.Contact Information
Primary practice address
2424 S 90Th St Ste 500
West Allis WI 53227-2464
Phone: (414) 321-2255
Fax: (414) 321-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13891 | Wisconsin |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 13891 | Wisconsin |
Profile Details
| NPI number | 1740800606 |
|---|---|
| LBN Legal business name | Wieting, Andrew |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2020 |
| Last updated | Apr 16th, 2024 - about 2 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 | 1740800606 | NPPES |
| Wisconsin | MEDICAID | 100159406 |
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