Wiseman, Brian Frederick
Wiseman, Brian Frederick is an individual health care provider with primary practice located at 2200 Sutherland Ave. , Knoxville TN 37919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wiseman, Brian Frederick can be contacted via phone (865) 521-6174.Contact Information
Primary practice address
2200 Sutherland Ave.
Knoxville TN 37919
Phone: (865) 521-6174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 40149 | Tennessee |
Profile Details
| NPI number | 1669442547 |
|---|---|
| LBN Legal business name | Wiseman, Brian Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 1st, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669442547 | NPPES |
| Tennessee | MEDICAID | 3333936 |
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