Dr. Perry Joe Wise
General Practice Physician
723 Ballentine St
Raymond
, Washington 98577-3603
Dr. Perry Joe Wise
General Practice Physician
723 Ballentine St
Raymond
, Washington 98577-3603
(360) 581-2252
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Perry Joe Wise
- Po Box 308 Healing Heart & Hands
- South Bend, WA
- Zip : 98586-0308
- Phone : (360) 581-2252
Second Address
- Dr. Perry Joe Wise
- 723 Ballentine St
- Raymond, WA
- Zip : 98577-3603
- Phone : (360) 581-2252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | NT00000808 | WA |
National Provider Identifier
| NPI | 1033342720 |
|---|---|
| Provider Name | Dr. Perry Joe Wise |
| First Address | South Bend, WA 98586-0308 |
| Second Address | Raymond, WA 98577-3603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2009 |
| Last Update Date | 27/08/2009 |
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.