Wiseman, Michael B

Wiseman, Michael B is an individual health care provider with primary practice located at 800 Oak Ridge Turnpike Suite A-402, Oak Ridge TN 37830. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Wiseman, Michael B can be contacted via phone (865) 637-8812.

Contact Information

Primary practice address
800 Oak Ridge Turnpike Suite A-402 Oak Ridge TN 37830
Phone: (865) 637-8812
Fax: (865) 824-4886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201214 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16227 Tennessee

Profile Details

NPI number 1689637340
LBN Legal business name Wiseman, Michael B
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 17th, 2021 - about 5 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 1689637340 NPPES
Tennessee MEDICAID 1529982

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