J Eric Wieczorek
Family Doctor Family Doctor - Geriatric Medicine
456 Locust Street
Sidman
, Pennsylvania 15955
J Eric Wieczorek
Family Doctor Family Doctor - Geriatric Medicine
456 Locust Street
Sidman
, Pennsylvania 15955
(814) 487-4781
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- J Eric Wieczorek
- 456 Locust Street Po Box 199
- Sidman, PA
- Zip : 15955
- Fax : (814) 487-4781
- Phone : (814) 487-5721
Second Address
- J Eric Wieczorek
- 456 Locust Street
- Sidman, PA
- Zip : 15955
- Fax : (814) 487-4781
- Phone : (814) 487-5721
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Is J Eric Wieczorek a sole practitioner?
Is J Eric Wieczorek accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD027159E | PA |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD 027159E | PA |
National Provider Identifier
| NPI | 1356393672 |
|---|---|
| Provider Name | J Eric Wieczorek |
| First Address | Sidman, PA 15955 |
| Second Address | Sidman, PA 15955 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 10/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0010215060002 | (05) | PA |
| B36494 | (02) |
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.