Wiseman, William J

Wiseman, William J is an individual health care provider with primary practice located at 610 E Southport Rd Ste 200, Indianapolis IN 46227-8590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wiseman, William J can be contacted via phone (317) 781-4588.

Contact Information

Primary practice address
610 E Southport Rd Ste 200 Indianapolis IN 46227-8590
Fax: (317) 782-4885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01038528A Indiana

Profile Details

NPI number 1356323323
LBN Legal business name Wiseman, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 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 1356323323 NPPES
Indiana MEDICAID 200020140A

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