Wiseman, Jamie R

Wiseman, Jamie R is an individual health care provider with primary practice located at 10012 N Creek Rd , Comfort TX 78013-3700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wiseman, Jamie R can be contacted via phone (210) 326-6098.

Contact Information

Primary practice address
10012 N Creek Rd Comfort TX 78013-3700
Phone: (210) 326-6098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8301 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57425-20 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 3956-850 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57425-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q1331 Texas

Profile Details

NPI number 1023394970
LBN Legal business name Wiseman, Jamie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated Jun 9th, 2019 - about 6 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 1023394970 NPPES
Wisconsin Other 1023394970 BCBCWI
Wisconsin MEDICAID 1023394970 BCBCWI
Wisconsin MEDICAID 158697344 1 BCBCWI
Wisconsin MEDICAID 1622061 BCBCWI
Wisconsin Other HITCHJAM BCBCWI

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