Wiss, Barry R

Wiss, Barry R is an individual health care provider with primary practice located at 5823 W Eugie Ave Ste A, Glendale AZ 85304-1276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wiss, Barry R can be contacted via phone (602) 843-1265.

Contact Information

Primary practice address
5823 W Eugie Ave Ste A Glendale AZ 85304-1276
Fax: (602) 843-1297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2029 Arizona

Profile Details

NPI number 1366419434
LBN Legal business name Wiss, Barry R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated May 21st, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366419434 NPPES
Arizona Other 120390 GROUP MEDICARE NUMBER
Arizona MEDICAID 290445-06 GROUP MEDICARE NUMBER
Arizona MEDICAID 290445 02 GROUP MEDICARE NUMBER
Arizona Other 317047 GROUP MEDICARE NUMBER

Popular Providers