Wise, James L

Wise, James L is an individual health care provider with primary practice located at 1601 Trinity St Ste 9.901S , Austin TX 78712-1765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wise, James L can be contacted via phone (512) 324-9660.

Contact Information

Primary practice address
1601 Trinity St Ste 9.901S Austin TX 78712-1765
Phone: (512) 324-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 42293 Minnesota

Profile Details

NPI number 1982681334
LBN Legal business name Wise, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982681334 NPPES
Minnesota MEDICAID 453953200

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