Wisniewski, Debra
Wisniewski, Debra is an individual health care provider with primary practice located at 695 Chestnut St , Union NJ 07083-7200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wisniewski, Debra can be contacted via phone (908) 851-8602.Contact Information
Primary practice address
695 Chestnut St
Union NJ 07083-7200
Phone: (908) 851-8602
Fax: (908) 686-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 25MP00051100 | New Jersey |
Profile Details
| NPI number | 1750415832 |
|---|---|
| LBN Legal business name | Wisniewski, Debra |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 11th, 2016 - about 10 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 | 1750415832 | NPPES |
| New Jersey | Other | 25MP00051100 | STATE MEDICAL LICENSE |
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