Wiley, James C.

Wiley, James C. is an sole proprietor health care provider with primary practice located at 2560 Old Shell Rd , Mobile AL 36607-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiley, James C. can be contacted via phone (251) 378-8635.

Contact Information

Primary practice address
2560 Old Shell Rd Mobile AL 36607-3022
Fax: (251) 378-8636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14295 Alabama

Profile Details

NPI number 1902896004
LBN Legal business name Wiley, James C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Dec 10th, 2010 - about 16 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 1902896004 NPPES
Alabama MEDICAID 000087291

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