Dr. Gordon Edgar Wuebbolt
Ophthalmologist Ophthalmic
2 Farm Colony Drive
Warren
, Pennsylvania 16365-5206
Dr. Gordon Edgar Wuebbolt
Ophthalmologist Ophthalmic
2 Farm Colony Drive
Warren
, Pennsylvania 16365-5206
(814) 726-7459
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About
Features
Specialties
- Ophthalmic
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Gordon Edgar Wuebbolt
- 2 Farm Colony Drive
- Warren, PA
- Zip : 16365-5206
- Fax : (814) 726-7459
- Phone : (814) 726-2303
Second Address
- Dr. Gordon Edgar Wuebbolt
- 2 Farm Colony Drive
- Warren, PA
- Zip : 16365-5206
- Fax : (814) 726-7459
- Phone : (814) 726-2303
Reviews
FAQs
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In what state does Dr. Gordon Edgar Wuebbolt practice in?
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Is Dr. Gordon Edgar Wuebbolt a sole practitioner?
Is Dr. Gordon Edgar Wuebbolt accepting new patients?
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Does Dr. Gordon Edgar Wuebbolt have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156FX1100X | Ophthalmic | 219642-1 | NY |
| N | 156FX1100X | Ophthalmic | MD052930L | PA |
| N | 207W00000X | Ophthalmologist | 219642-1 | NY |
| Y | 207W00000X | Ophthalmologist | MD052930L | PA |
National Provider Identifier
| NPI | 1548234255 |
|---|---|
| Provider Name | Dr. Gordon Edgar Wuebbolt |
| First Address | Warren, PA 16365-5206 |
| Second Address | Warren, PA 16365-5206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 13/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001464588 | (05) | PA |
| 02155728 | (05) | NY |
| F34988 | (02) | |
| F34988 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.