Wisniewski, Joseph Marion

Wisniewski, Joseph Marion is an individual health care provider with primary practice located at 1350 Mackey Branch Dr Ste 114, Chattanooga TN 37421-3483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Wisniewski, Joseph Marion can be contacted via phone (423) 468-3267.

Contact Information

Primary practice address
1350 Mackey Branch Dr Ste 114 Chattanooga TN 37421-3483
Phone: (423) 468-3267
Fax: (423) 468-3270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 28883 Tennessee

Profile Details

NPI number 1457346835
LBN Legal business name Wisniewski, Joseph Marion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Mar 28th, 2019 - about 7 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 1457346835 NPPES
Tennessee Other 103I112249 MEDICARE PTAN

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