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Contact Information

JEFFREY WISHIK, MD
1 RANDALL SQ
SUITE 409
PROVIDENCE, RI02904-2709
 Phone: 401-274-5150
 Fax: 401-274-5130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JEFFREY WISHIK · (Male)

NPI Number 1447305636
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2007
Last updated 11/28/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # MD07160
  • RI Medicaid 9000115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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