Wise, William S

Wise, William S is an individual health care provider with primary practice located at 235 N Pearl St Attn: Pathology Dept, Brockton MA 02301-1794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wise, William S can be contacted via phone (508) 427-3086.

Contact Information

Primary practice address
235 N Pearl St Attn: Pathology Dept Brockton MA 02301-1794
Phone: (508) 427-3086
Fax: (508) 588-0520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 57170 Massachusetts

Profile Details

NPI number 1669453700
LBN Legal business name Wise, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 1st, 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 1669453700 NPPES
Massachusetts Other AA1347 HPHC
Massachusetts Other J03385 HPHC
Massachusetts MEDICAID 6182089 HPHC
Massachusetts Other 732320 HPHC

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